Individual
LYNN BOOSA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 VINTAGE WAY APT 1118, FERNANDINA BEACH, FL 32034-0147
(904) 468-0163
Mailing address
11 VINTAGE WAY APT 1118, FERNANDINA BEACH, FL 32034-0147
(904) 468-0163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MT4849
FL
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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