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Individual

MORGAN MAXINE SCARBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
108 AUBURN DR, WAYNESVILLE, MO 65583-2737
(727) 560-3456
Mailing address
108 AUBURN DR, WAYNESVILLE, MO 65583-2737
(727) 560-3456

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302796

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
11/02/2021
Last updated
05/09/2026
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