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Individual

MR. DARNAE' LAMON SCALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, MSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006445A
IN
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12561973
ANTHEM-CAQH
IN
01
1477989259
PERSONAL NPI #
IN
Enumeration date
09/24/2013
Last updated
03/20/2024
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