Scott, Connie

Scott, Connie is an individual health care provider with primary practice located at 3646 Mount Elliott St , Detroit MI 48207-2311. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Scott, Connie can be contacted via phone (313) 921-4700.

Contact Information

Primary practice address
3646 Mount Elliott St Detroit MI 48207-2311
Phone: (313) 921-4700
Fax: (313) 921-4125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1841313400
LBN Legal business name Scott, Connie
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841313400 NPPES
Michigan Other 6803012703 SOCIAL WORK TECH
Michigan Other 4703016071 SOCIAL WORK TECH

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