| NPI | 1841777471 |
|---|---|
| Former Name | MAKENZIE R SCOGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8900-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022031695) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2025-04-10 |