Individual
MISS ANGELIQUE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,CASAC
Contact information
Practice address
2808 DEERFIELD RD, FAR ROCKAWAY, NY 11691-2118
(347) 547-4393
Mailing address
2808 DEERFIELD RD, FAR ROCKAWAY, NY 11691-2118
(347) 547-4393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
039438
NY
Other
Enumeration date
08/09/2016
Last updated
10/04/2017
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