Individual
LORRAINE JEAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(360) 763-5610
Mailing address
PO BOX 325, SHELTON, WA 98584-0325
(360) 763-5610
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60791799
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60791799
—
WA
Enumeration date
01/02/2019
Last updated
01/02/2019
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