Individual
MR. MARK JAMES SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.W.
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
1351 N 2540 W, PROVO, UT 84601-8286
(801) 375-7413
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6217878-3502
UT
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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