Individual
MS. OPAL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HUCKLEBERRY RD, WINDSOR, CT 06095-1541
(860) 688-2211
Mailing address
15 HUCKLEBERRY RD, WINDSOR, CT 06095-1541
(860) 688-2211
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
374J00000X
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374J00000X
DOULA -HEALTH CARE PROVIDER TAXONOMY CODE SET - NURSING SERVICE RELATED PROVIDER
CT
Enumeration date
04/19/2012
Last updated
04/19/2012
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