Individual
SAMUEL CARL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
517 W WALNUT ST, INDEPENDENCE, MO 64050-3621
(816) 678-6428
Mailing address
517 W WALNUT ST, INDEPENDENCE, MO 64050-3621
(816) 678-6428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009030757
MO
Other
Enumeration date
03/28/2007
Last updated
07/01/2011
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