Individual
MR. SCOTT M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.S.W.
Contact information
Practice address
71 W NORTHAMPTON ST, WILKES BARRE, PA 18701-1112
(570) 823-5137
(570) 824-4210
Mailing address
71 W NORTHAMPTON ST, WILKES BARRE, PA 18701-1112
(570) 823-5137
(570) 824-4210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW001684E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW001684E
BCNEPA
PA
Enumeration date
03/22/2011
Last updated
03/22/2011
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