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NPI Code Detail

MEDICARE: AMMAR NAZARALI LMSW, LCDC

MEDICARE: AMMAR NAZARALI LMSW, LCDC
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
1104100000XSocial Worker
2101Y00000XCounselor

General Provider Information

NPI Number : 1841989282
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMMAR NAZARALI LMSW, LCDC
Provider Business Mailing Address
First Line : 3300 RADCLIFFE DR
Second Line :
City : PLANO
State : TX
Zip : 75093-7138
Country : US
Telephone Number : 817-808-2620
Fax Number :
Provider Business Practice Location Address
First Line : 5228 VILLAGE CREEK DR STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-4430
Country : US
Telephone Number : 972-913-4738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 05/02/2023

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