Individual
MS. MICHELLE KAREN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5220 S 6TH STREET RD, SPRINGFIELD, IL 62703-5735
(217) 575-7700
Mailing address
1111 S MACARTHUR BLVD, SPRINGFIELD, IL 62704-2820
(217) 819-0371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
10/23/2009
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