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1100 Meridian Bay Dr Las Vegas NV 89128-1625 | |
| (702) 719-9773 | |
| (702) 897-2984 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 1100 Meridian Bay Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Monique Harris (CEO) |
| Authorized Official Contact | 7027199773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1100 Meridian Bay Dr Las Vegas NV 89128-1625 Ph: (702) 719-9773 | 1100 Meridian Bay Dr Las Vegas NV 89128-1625 Ph: (702) 719-9773 |
| NPI Number | 1184945909 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184945909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 5139-S (Nevada) | Primary |
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