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NPI Code Detail

MEDICARE: SOLTANA SOLI NOSRATI LCSW

MEDICARE: SOLTANA SOLI NOSRATI 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 WorkerLCS28594CA
21041C0700XClinical Social WorkerC010270NC

General Provider Information

NPI Number : 1609014836
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOLTANA SOLI NOSRATI LCSW
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13815 PROFESSIONAL CENTER DR STE 100
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7951
Country : US
Telephone Number : 704-384-1320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2009
Last Update Date : 11/09/2022

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Directions to “ SOLTANA SOLI NOSRATI LCSW” Practice Location

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