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Individual

CAROL SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, LPC-S

Contact information

Practice address
3403 73RD ST, #16, LUBBOCK, TX 79423-1101
(806) 686-1645
Mailing address
3108 100TH ST, LUBBOCK, TX 79423-4039
(806) 789-8641

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61515
TX

Other

Enumeration date
07/18/2016
Last updated
07/18/2016
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