Individual
GARY VAN SCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
111 N FRANKLIN ST, WILKES BARRE, PA 18701-1401
(570) 826-0999
(570) 208-0603
Mailing address
131 LAIRD ST, WILKES BARRE, PA 18705-3818
(570) 826-0999
(570) 208-0603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW001159L
PA
Other
Enumeration date
10/27/2006
Last updated
03/20/2010
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