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NPI Code Detail

MEDICARE: MR. SEAN JULES SEEBA LCSW

MEDICARE: MR. SEAN JULES SEEBA 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 WorkerLCSW10242AZ

General Provider Information

NPI Number : 1649401936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN JULES SEEBA LCSW
Provider Business Mailing Address
First Line : 1120 N 5TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85705-7408
Country : US
Telephone Number : 520-624-5600
Fax Number :
Provider Business Practice Location Address
First Line : 1120 N 5TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85705-7408
Country : US
Telephone Number : 520-624-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2009
Last Update Date : 06/12/2020

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Directions to “ MR. SEAN JULES SEEBA LCSW” Practice Location

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