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Individual

BRUCE M SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., L.P.C.

Contact information

Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2567
Mailing address
2115 E 20TH ST, TULSA, OK 74104-5609

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
720
OK

Other

Enumeration date
02/15/2007
Last updated
07/08/2007
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