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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811276819 | NPPES |
| Minnesota | Other | 19564 | STATE OF MINNESOTA BOARD OF SOCIAL WORK |
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