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NPI Code Detail

MEDICARE: TIDHAR SHLOMO OZERI LCSW

MEDICARE:   TIDHAR SHLOMO OZERI  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 Worker22815AZ

General Provider Information

NPI Number : 1710783618
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIDHAR SHLOMO OZERI LCSW
Provider Business Mailing Address
First Line : 360 S COLUMBUS BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-4138
Country : US
Telephone Number : 520-481-8073
Fax Number :
Provider Business Practice Location Address
First Line : 360 S COLUMBUS BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-4138
Country : US
Telephone Number : 520-481-8073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2025
Last Update Date : 02/21/2025

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Directions to “ TIDHAR SHLOMO OZERI LCSW” Practice Location

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