Individual
MRS. MICHELLE GRANT SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
398 COLLEGE AVE, CLEMSON, SC 29631-1432
(864) 653-4112
(864) 653-4129
Mailing address
2208 CONCORD RD, ANDERSON, SC 29621-3542
(864) 653-4112
(864) 653-4129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8584
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266209
PROVIDER ID FOR COMPSYCH
SC
Enumeration date
04/13/2007
Last updated
07/08/2007
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