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Individual

CAROLYN A. SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SST

Contact information

Practice address
26740 LATHRUP BLVD, LATHRUP VILLAGE, MI 48076-4633
(313) 999-4214
Mailing address
26740 LATHRUP BLVD, LATHRUP VILLAGE, MI 48076-4633
(313) 999-4214

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803086882
MI

Other

Enumeration date
12/12/2016
Last updated
12/12/2016
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