Lydia P. Scruggs LCSW
Clinical Social Worker in Shelby, NC(View on Map)
Full Name
Lydia Perrin Scruggs LCSW
NPI Number
1265489363
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/27/2006
Specialties
(Taxonomies)Licenses
State
North Carolina
License Number
C004380
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 2465
927 S LAFAYETTE ST
City
Shelby
Shelby
State
NC
NC
Postal Code
28151-2465
28152-5851
Country
US
US
Telephone Number
(704) 481-8626
(704) 481-8626
Identifiers
Identifier
D2624
474794000
133R4
6002598
Identifier State
NC
NC
NC
NC
Identifier Issuer
INDIV. MEDCOST NUMBER
INDIV. MAGELLAN NUMBER
INDIV. BCBS NUMBER
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/29/2009