Individual
MR. ED JAY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
201 E MORGAN ST, JACKSONVILLE, IL 62650-2587
(217) 245-1655
(217) 245-4742
Mailing address
201 E MORGAN ST, P.O. BOX 1304, JACKSONVILLE, IL 62651
(217) 245-1655
(217) 245-4742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.003173
IL
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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