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Individual

ANTOINE JEROME SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
321 W NORMAN AVE APT 1, DAYTON, OH 45405-3344
(937) 344-2168

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
OH
175T00000X
Peer Specialist
Primary

Other

Enumeration date
10/10/2024
Last updated
12/08/2025
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