Individual
JENNIFER SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 SW WASHINGTON AVE, LAWTON, OK 73501-7231
(580) 564-7674
Mailing address
PO BOX 1710, KINGSTON, OK 73439-1710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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