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General NPI Number Information
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NPI Number | 1376763375
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Entity Type | Individual
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Provider Name | SUZANNE C. VETERE MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 7632 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-4201
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Country | US
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Telephone | 520-360-4064
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Fax |
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Provider Business Mailing Address
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Address Line | 8451 N SPRING CREEK DR
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City | TUCSON
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State | AZ
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Zip | 85742-4842
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Country | US
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Telephone | 520-360-4064
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 16155
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LISAC-10313
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-11614
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License Number State | AZ
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