Individual
DWAYNE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 E GRAND BLVD APT 208, DETROIT, MI 48207-3777
(586) 339-2178
Mailing address
27378 PARKVIEW BLVD APT 4314, WARREN, MI 48092-3501
(586) 339-2178
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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