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
ZIP Code
58801
Phone
(701) 570-4602

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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