| NPI | 1154743151 | 
|---|---|
| Other Name | MATT SCALLION | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022015652)  | 
| Additional Taxonomies | 104100000X Social Worker | 
| 1041C0700X Social Worker, Clinical (Licence: MN 27244)  | |
| Enumeration Date | 2014-01-09 | 
| Last Update Date | 2025-03-07 |