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Individual

MR. GERALD R EARL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSSW

Contact information

Practice address
3131 LA CANADA ST STE 216, LAS VEGAS, NV 89109-2579
(702) 636-3000
Mailing address
9409 ROLLING RIDGE LN, LAS VEGAS, NV 89134-0150
(702) 360-0445
(702) 360-0445

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01219-C
NV

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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