Individual
MR. MAGNUS W.T. SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 TOLSON STREET, LANGSTON, OK 73050-0538
(405) 361-9619
Mailing address
PO BOX 538, LANGSTON, OK 73050-0538
(405) 361-9619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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