MR. Ed Jay Scott, L.C.S.W.

NPI #1972851905 in Jacksonville, Illinois

Provider Information

NPI Number: 1972851905
Entity Type: Individual
Name: MR. Ed Jay Scott, L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: Aug 23, 2012
Last Updated: Aug 23, 2012

Practice Location

Address: 201 E MORGAN ST
City: Jacksonville
State: Illinois
ZIP Code: 62650-2587
Phone: (217) 245-1655

Specialties & Taxonomy Codes

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

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