Individual
DAVID SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
(541) 928-3020
Mailing address
586 E OAK ST, LEBANON, OR 97355-4441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3795
OR
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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