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Individual

CHARLSEY SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
404 HEARNE AVE, SHREVEPORT, LA 71103-2022
(318) 716-1369
(318) 675-0120
Mailing address
16710 WILSONS CREEK LN, HOUSTON, TX 77083-7218
(832) 799-8486

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19474
LA

Other

Enumeration date
10/09/2025
Last updated
10/09/2025
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