Domazet, Tamara

Domazet, Tamara is an individual health care provider with primary practice located at 152 River Woods Ln , Burnsville MN 55337-3322. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Domazet, Tamara can be contacted via phone (507) 334-1983.

Contact Information

Primary practice address
152 River Woods Ln Burnsville MN 55337-3322
Phone: (507) 334-1983
Fax: (507) 333-2307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19564 Minnesota

Profile Details

NPI number 1811276819
LBN Legal business name Domazet, Tamara
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated Aug 8th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811276819 NPPES
Minnesota Other 19564 STATE OF MINNESOTA BOARD OF SOCIAL WORK

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