WALTER SCOTT

GARY, IN
NPI1518335793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001119A)
Enumeration Date2015-09-04
Last Update Date2015-09-04
Business Address
Mr. WALTER SCOTT MPA, LCAC
4795 BROADWAY
GARY, IN 46409-2403
Phone number: 219-887-3688
Mailing Address
Mr. WALTER SCOTT MPA, LCAC
4795 BROADWAY
GARY, IN 46409-2403
Phone number: 219-887-3688