Otalora, Tatiana
Otalora, Tatiana is an individual health care provider with primary practice located at 6020 Dawson Blvd , Norcross GA 30093-1229. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Otalora, Tatiana can be contacted via phone (770) 662-0249.Contact Information
Primary practice address
6020 Dawson Blvd
Norcross GA 30093-1229
Phone: (770) 662-0249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | MSW006471 | Georgia |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 089613-1 | New York |
Profile Details
| NPI number | 1922406214 |
|---|---|
| LBN Legal business name | Otalora, Tatiana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2014 |
| Last updated | Dec 18th, 2014 - about 10 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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