Provider Information for 1174918940
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CHARNIECE C. SCOTT LCSW
Sex: Female
NPI: 1174918940
Last Updated: 2025-03-07
Certification Date: 2025-03-07
Certification Date: 2025-03-07
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1174918940 | ||||||||||||||||||||
| Enumeration Date | 2015-03-30 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 8326 MAIN ST BLDG 3 HOUMA, LA 70363-4871 United States Phone: 985-868-2620 | Fax:985-868-8547 | ||||||||||||||||||||
| Primary Practice Address | 10100 GOODWOOD BLVD BATON ROUGE, LA 70815-4521 United States Phone: 225-924-7707 | Fax:225-926-9467 | ||||||||||||||||||||
| Secondary Practice Address(es) | 5593 HIGHWAY 311 8326 MAIN ST BLDG 3 | ||||||||||||||||||||
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