Individual
PAIGE SCOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 2ND ST, LA SALLE, IL 61301-2509
(815) 223-4007
Mailing address
1606 27TH ST, PERU, IL 61354-1393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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