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1366528085
IVAN MAURICE SCOTT
BUFFALO, NY
NPI
1366528085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
Mr. IVAN MAURICE SCOTT BA
923 MAIN ST
BUFFALO, NY 14203-1121
Phone number: 716-882-2591
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Mailing Address
Mr. IVAN MAURICE SCOTT BA
923 MAIN ST
BUFFALO, NY 14203-1121
Phone number: 716-882-2591
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