Individual
MRS. MEADOW MARIE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LIMHP
Contact information
Practice address
415 E 23RD ST, SUITE 205, FREMONT, NE 68025-2393
(402) 995-9989
Mailing address
415 E 23RD ST, SUITE 205, FREMONT, NE 68025-2393
(402) 995-9989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2549
NE
1041C0700X
Clinical Social Worker
1065
NE
174400000X
Specialist
Primary
651
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024965800
—
NE
Enumeration date
06/15/2006
Last updated
03/30/2011
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