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Organization
EXECUTIVE THERAPY SOLUTIONS
Active
Organization
EXECUTIVE THERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA RAICHART LCSW (CLINICAL SOCIAL WORKER/ OWNER)
(702) 635-6800
Entity
Organization
Contact information
Practice address
6887A W. CHARLESTON BLVD., LAS VEGAS, NV 89117
(702) 635-6800
(702) 869-8844
Mailing address
2620 REGATTA DRIVE, SUITE 211, LAS VEGAS, NV 89128
(702) 635-6800
(702) 869-8844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
08/12/2021
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