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Organization
1ST CLARK COUNTY MEDICAL CLINIC LLC
Active
Organization
1ST CLARK COUNTY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREZILDA MAE CABO (MANAGING MEMBER)
(702) 445-1196
Entity
Organization
Contact information
Practice address
1085 HWY 95 STE E, HAWTHORNE, NV 89415-7771
(702) 485-3450
Mailing address
1085 HWY 95 STE E, HAWTHORNE, NV 89415-7771
(702) 485-3450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/13/2024
Last updated
03/03/2026
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