Individual
CHARLENE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1744 PAYNE AVE, CLEVELAND, OH 44114
(216) 623-6555
Mailing address
4269 PEARL RD, CLEVELAND, OH 44109-4234
(216) 431-4131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1440372
OH
Other
Enumeration date
09/29/2016
Last updated
07/27/2018
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