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Individual

DR. ELIJAH MICHAEL SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD LSW

Contact information

Practice address
5500 S MARGINAL RD, CLEVELAND, OH 44103-1072
(216) 221-7588
Mailing address
5500 S MARGINAL RD STE 110, CLEVELAND, OH 44103-1009
(162) 221-7588

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
S 13103131
OH

Other

Enumeration date
11/10/2016
Last updated
04/08/2022
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