Individual
JESSE A SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7047
(539) 664-5738
Mailing address
1509 S ASPEN CT, BROKEN ARROW, OK 74012-6201
(918) 906-3555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7033
OK
Other
Enumeration date
07/02/2015
Last updated
03/14/2020
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