Individual
WINFRED SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
25 MIRACLE LN, GARDEN VALLEY, ID 83622-8362
(208) 462-3074
Mailing address
25 MIRACLE LN, GARDEN VALLEY, ID 83622-7164
(208) 794-1121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35597
ID
Other
Enumeration date
05/03/2016
Last updated
09/14/2020
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