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NPI Code Detail

MEDICARE: MS. ERIN MICHELLE SCOTT LCSW

MEDICARE: MS. ERIN MICHELLE SCOTT LCSW
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
11041C0700XClinical Social Worker49682323501UT

General Provider Information

NPI Number : 1790900439
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN MICHELLE SCOTT LCSW
Provider Business Mailing Address
First Line : 5800 HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-1359
Country : US
Telephone Number : 801-272-9980
Fax Number : 801-272-9976
Provider Business Practice Location Address
First Line : 5800 HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-1359
Country : US
Telephone Number : 801-272-9980
Fax Number : 801-272-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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