Individual
DESIREE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1868 HILL VALLEY RD, GILLETTE, WY 82716-9746
(719) 782-0258
Mailing address
1868 HILL VALLEY RD, GILLETTE, WY 82716-9746
(719) 782-0258
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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