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Nicole Michelle Scott

Social Worker, Clinical in Davenport, IA. Individual provider (NPI-1).

NPI number1982201851
StatusActive
Last updated in NPPESAug 15, 2024

Details

NPI
1982201851
Entity type
Individual (NPI-1)
Name
Nicole Michelle Scott
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2020
Certification date
Aug 15, 2024
Last updated
Aug 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical101188IAYes

Practice location

415 N Perry St
Davenport, IA 52801-1617

Phone 563-328-5800

Mailing address

310 W 61st Pl
Davenport, IA 52806-2129

Phone 563-650-3561

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