Horse Sense For A 'change', Llc | |
7301 E 22nd St Suite 1c Tucson AZ 85710-6426 | |
(520) 296-0442 | |
(520) 296-0998 |
Full Name | Horse Sense For A 'change', Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 7301 E 22nd St, Tucson, Arizona |
Authorized Official Name and Position | Charlotte S Obannon (OWNER) |
Authorized Official Contact | 5202602174 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Horse Sense For A 'change', Llc 7301 E 22nd St Suite 10e Tucson AZ 85710-6426 Ph: (520) 260-2174 | Horse Sense For A 'change', Llc 7301 E 22nd St Suite 1c Tucson AZ 85710-6426 Ph: (520) 296-0442 |
NPI Number | 1114116399 |
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Provider Enumeration Date | 10/23/2007 |
Last Update Date | 10/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114116399 | NPI | - | NPPES |
1710061189 | Other | AZ | ORIGINAL INDIVIDUAL NPI |
Z118600 | Other | AZ | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4154 (Arizona) | Primary |
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