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Individual

MS. WANDA L SCALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, LCSW

Contact information

Practice address
411 REGENCY CT, # 5, LOUISVILLE, KY 40207-5287
(502) 893-1379
Mailing address
411 REGENCY CT, # 5, LOUISVILLE, KY 40207-5287
(502) 893-1379

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000922A
IN

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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