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NPI Code Detail

MEDICARE: MS. MARGO LYN SCOTT BSW, LBSW

MEDICARE: MS. MARGO LYN SCOTT BSW, LBSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker18091TX

General Provider Information

NPI Number : 1619042322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARGO LYN SCOTT BSW, LBSW
Provider Business Mailing Address
First Line : 214 E HOUSTON ST
Second Line :
City : TYLER
State : TX
Zip : 75702-8131
Country : US
Telephone Number : 903-535-9041
Fax Number : 903-533-0726
Provider Business Practice Location Address
First Line : 214 E HOUSTON ST
Second Line :
City : TYLER
State : TX
Zip : 75702-8131
Country : US
Telephone Number : 903-535-9041
Fax Number : 903-533-0726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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