Theresa E Scully, LICSW
NPI #1316485634 in Williston, North Dakota
Provider Information
- NPI Number
- 1316485634
- Entity Type
- Individual
- Name
- Theresa E Scully, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Feb 7, 2017
- Last Updated
- Feb 7, 2017
Practice Location
- Address
- 125 MAIN ST; UNIT 220
- City
- Williston
- State
- North Dakota
- ZIP Code
- 58801
- Phone
- (701) 570-4602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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