Most Relevant Information
Provider Data
| NPI Number: | 1003681768 |
| Provider Name: | OSMAN TITUS MANSARAY LADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 23162 |
Most Important Dates
| Enumeration Date: | 11/21/2023 |
| Last Updated: | 11/28/2023 |
Provider Practice Location
7 RAILROAD AVE UNIT B
ATTLEBORO
MA
027032908
Practice Location Phone/Fax
| Phone: | 8555104357 |
| Fax: |
Provider Mailing Location
4600 MONTGOMERY RD STE 400
CINCINNATI
OH
452122600
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |