Individual
ELLEN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3161 MARATHON CIR, ANCHORAGE, AK 99515-2421
(907) 243-4394
(907) 243-4774
Mailing address
3161 MARATHON CIR, ANCHORAGE, AK 99515-2421
(907) 243-4394
(907) 243-4774
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
BUSINESS # 414489
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM2573
—
AK
05
—
CMG573
—
AK
Enumeration date
03/26/2007
Last updated
10/19/2007
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