Individual
MRS. JACQUELINE A SCOLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
2026 FULTON RD NW, SUITE C, CANTON, OH 44709-3564
(330) 451-2060
(330) 451-2061
Mailing address
2026 FULTON RD NW, SUITE C, CANTON, OH 44709-3564
(330) 451-2060
(330) 451-2061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0030725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I0030725
S.W.
HI
01
—
S0030725
S.W.
OH
Enumeration date
03/09/2007
Last updated
08/27/2010
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