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Contact Information

JACQUELINE O SCURLOCK, LCSW
230 E MARYDALE AVE
SOLDOTNA, AK99669
 Phone: 907-262-3119
 Fax: 907-262-9290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JACQUELINE O SCURLOCK · (Female)

NPI Number 1477951192
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 12/11/2014
Last updated 09/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 147557
  • MD License # 18453
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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