MS. Theresa Kay Scott, RC00058099

NPI #1093999880 in Lakewood, Washington

Provider Information

NPI Number: 1093999880
Entity Type: Individual
Name: MS. Theresa Kay Scott, RC00058099
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Credential: RC00058099
Enumeration Date: Dec 28, 2007
Last Updated: Dec 28, 2007

Practice Location

Address: 9330 59TH AVE SW
City: Lakewood
State: Washington
ZIP Code: 98499-2858
Phone: (253) 581-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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