Individual
THERESA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1300 MERCANTILE LN STE 198, LARGO, MD 20774-5339
(301) 386-2991
Mailing address
1300 MERCANTILE LN STE 198, LARGO, MD 20774-5339
(301) 386-2991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G13159
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G13159
—
MD
Enumeration date
04/03/2019
Last updated
04/03/2019
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