| 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 | 104100000X Social Worker (Licence: AR 8900-M) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2022031695) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2022-08-10 |