| Kimberly Scott, Pllc | |
|
112 Brooks St Wake Forest NC 27587-2757 | |
| (919) 324-7361 | |
| Not Available |
| Full Name | Kimberly Scott, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 112 Brooks St, Wake Forest, North Carolina |
| Authorized Official Name and Position | Kimberly Scott (DIRECTOR) |
| Authorized Official Contact | 9194143452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Scott, Pllc 112 Brooks St Wake Forest NC 27587-2757 Ph: (919) 324-7361 | Kimberly Scott, Pllc 112 Brooks St Wake Forest NC 27587-2757 Ph: (919) 324-7361 |
| NPI Number | 1790166593 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790166593 | NPI | - | NPPES |
| 6002801 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004666 (North Carolina) | Primary |
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