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5145 S Durango Dr Las Vegas NV 89113-0191 | |
| (702) 485-0430 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5145 S Durango Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Latoyia Griffin (MANAGER) |
| Authorized Official Contact | 7024850430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 82251 Las Vegas NV 89180-2251 Ph: (702) 485-0430 | 5145 S Durango Dr Las Vegas NV 89113-0191 Ph: (702) 485-0430 |
| NPI Number | 1285900241 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285900241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | NV2011328160 (Nevada) | Primary |
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