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1578190575
WILLIE SCOTT
CARMEL, NY
NPI
1578190575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 3874)
Enumeration Date
2020-03-27
Last Update Date
2020-04-01
Business Address
WILLIE SCOTT
21 OLD ROUTE 6
CARMEL, NY 10512-2107
Phone number: 845-225-5202
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Mailing Address
WILLIE SCOTT
79 GLENRIDGE RD
GLENVILLE, NY 12302-4523
Phone number:
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