Provider Information for 1437760485
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THOMAS REGINALD SANDER SCOTT LCSWA
Sex: Male
NPI: 1437760485
Last Updated: 2020-08-13
Certification Date: 2020-08-13
Certification Date: 2020-08-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1437760485 | ||||||||
| Enumeration Date | 2020-08-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 932 LYSTRA LN CHAPEL HILL, NC 27517-7731 United States Phone: 919-932-0857 | Fax: | ||||||||
| Primary Practice Address | 2732 ANN ELIZABETH DR BURLINGTON, NC 27215-6650 United States Phone: 336-229-5905 | Fax: | ||||||||
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