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Organization
LIVING WATERS TRAUMA INSTITUTE, LLC
Active
Organization
LIVING WATERS TRAUMA INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA LOUISE SANFORD LCSW (FOUNDING CEO)
(702) 577-4118
Entity
Organization
Contact information
Practice address
6130 ELTON AVE, SUITE 201, LAS VEGAS, NV 89107-2538
(702) 577-4118
(702) 216-6001
Mailing address
5828 MARIA DEL MAR ST, LAS VEGAS, NV 89130-7299
(702) 577-4118
(702) 216-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5312-C
NV
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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