Scott Weston Mandeville, L.C.S.W., CS.O.T.P.
Social Worker, Clinical in Bridgewater, VA. Individual provider (NPI-1).
NPI number1437110657
StatusActive
Last updated in NPPESDec 13, 2012
Details
- NPI
- 1437110657
- Entity type
- Individual (NPI-1)
- Name
- Mr. Scott Weston Mandeville
- Credential
- L.C.S.W., CS.O.T.P.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2006
- Last updated
- Dec 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904002990 | VA | Yes |
Practice location
108 W College StBridgewater, VA 22812-1124
Phone 540-828-3663 · Fax 540-828-2322
Mailing address
108 W College StBridgewater, VA 22812-1124
Phone 540-828-3663 · Fax 540-828-2322
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