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Individual

BRENDA L SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
700 OAKMOUND RD, CLARKSBURG, WV 26301-9398
(304) 623-6330
(304) 623-6220
Mailing address
249 SKIDMORE LN, SUTTON, WV 26601-9272
(304) 561-5319

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
DP00943495
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952685067
WV
01
DP00943495
LICENSE
WV
Enumeration date
10/07/2011
Last updated
01/02/2019
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