MR. Scott Stange, LCSW

NPI #1356334106 in Rock Island Arsenal, Illinois

Provider Information

NPI Number: 1356334106
Entity Type: Individual
Name: MR. Scott Stange, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Aug 26, 2005
Last Updated: Sep 8, 2023

Practice Location

Address: ROCK ISLAND ARSENAL HEALTH CLINIC, (RIAHC)
Address 2: ATTN: MCXM-DMC, BUILDING 110
City: Rock Island Arsenal
State: Illinois
ZIP Code: 61299-7240
Phone: (309) 782-0805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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