| NPI | 1154743151 |
|---|---|
| Other Name | MATT SCALLION |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022015652) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MN 27244) | |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2023-03-17 |