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Individual

MS. JACQUELINE PIEDRAHITA SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
257 PARK AVE S, NEW YORK, NY 10010-7304
(212) 677-8550
Mailing address
92 WINDSOR PL, BROOKLYN, NY 11215-5809
(917) 648-8275

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/22/2009
Last updated
07/22/2009
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