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1730209230
KENNETH A SCOTT
SANTA ROSA, CA
NPI
1730209230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- KENNETH A SCOTT
2254 ORDINANCE RD
SANTA ROSA, CA 95403-1006
Phone number: 707-579-7786
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Mailing Address
-- KENNETH A SCOTT
2254 ORDINANCE RD
SANTA ROSA, CA 95403-1006
Phone number:
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