Individual
KELLY MARIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
701 S 8TH ST, MCLOUD, OK 74851-8500
(405) 964-2961
Mailing address
RR 4 BOX 114-A, TECUMSEH, OK 74873-9101
(405) 740-3128
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2940
OK
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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