Individual
WANDA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 KENMORE AVE STE 114, ALEXANDRIA, VA 22304-1103
(202) 607-5479
Mailing address
4801 KENMORE AVE STE 114, ALEXANDRIA, VA 22304-1103
(202) 607-5479
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y0000X
DC
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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