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NPI Code Detail

MEDICARE: KATHRYN SUE STREER-SEIDLER LCSW

MEDICARE: KATHRYN SUE STREER-SEIDLER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW-12370AZ

General Provider Information

NPI Number : 1346539947
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN SUE STREER-SEIDLER LCSW
Provider Business Mailing Address
First Line : 3170 E FORT LOWELL RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1615
Country : US
Telephone Number : 520-795-4977
Fax Number : 520-795-4981
Provider Business Practice Location Address
First Line : 3170 E FORT LOWELL RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1615
Country : US
Telephone Number : 520-795-4977
Fax Number : 520-795-4981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2011
Last Update Date : 04/04/2011

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Directions to “ KATHRYN SUE STREER-SEIDLER LCSW” Practice Location

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