Individual
THOMAS ERNIE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12901 16TH AVE S, BURNSVILLE, MN 55337-3736
(612) 387-0042
Mailing address
12901 16TH AVE S, BURNSVILLE, MN 55337-3736
(612) 387-0042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
01/02/2022
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