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Individual

MRS. CARRIE THOMAS SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
400 S MAIN ST, SUITE 302A, HAILEY, ID 83333-8402
(208) 721-0531
Mailing address
PO BOX 1121, HAILEY, ID 83333-1121
(208) 721-0531

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3785
ID

Other

Enumeration date
04/09/2014
Last updated
04/09/2014
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