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Organization

COGNITIVE BEHAVIORAL THERAPY LEARNING GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN DOLENCE (PROVIDER)
(520) 401-1978
Entity
Organization

Contact information

Practice address
330 E 16TH ST, TUCSON, AZ 85701-2811
(520) 336-2964
Mailing address
PO BOX 43551, TUCSON, AZ 85733-3551

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12906
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12906
STATE LICENSE
AZ
Enumeration date
10/18/2017
Last updated
10/18/2017
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