Individual
MR. SCOTT TRACY UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3880
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6067-C
NV
1041C0700X
Clinical Social Worker
Primary
LCS 20226
CA
Other
Enumeration date
03/09/2007
Last updated
07/21/2022
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