NPI 1104792829

River Lark Scott

Practitioner Case Management Agency Tucson, AZ

Practice location

Address: 1811 E Blacklidge Dr APT 17, Tucson, AZ 85719-2735
Phone: (510) 993-6970

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1104792829
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2025
Record last updated: 11 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.