Individual
MS. DORI S TAMAGNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-13910
Contact information
Practice address
39213 S WILD HARDT WAY, MARANA, AZ 85658-8396
(520) 400-9444
Mailing address
39213 S WILD HARDT WAY, MARANA, AZ 85658-8396
(520) 400-9444
(520) 879-6099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10728
AZ
1041C0700X
Clinical Social Worker
13910
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218075
—
AZ
Enumeration date
07/12/2007
Last updated
12/03/2023
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