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NPI Code Detail

MEDICARE: ALLISON M OZGA LCSW

MEDICARE:   ALLISON M OZGA  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 Worker

General Provider Information

NPI Number : 1841676731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON M OZGA LCSW
Provider Business Mailing Address
First Line : 91 NORTHWEST DR
Second Line :
City : PLAINVILLE
State : CT
Zip : 06062-1534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 999 ASYLUM AVE STE 208
Second Line :
City : HARTFORD
State : CT
Zip : 06105-2475
Country : US
Telephone Number : 860-929-1853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 01/24/2018

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Directions to “ ALLISON M OZGA LCSW” Practice Location

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