Individual
KEVIN SCOTT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS, CPRC, FORENSIC
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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