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Organization

DEBRA M DOODKEVITCH

Active
Other names
The Brain Train Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA M DOODKEVITCH LCSW (OWNER, DIRECTOR)
(702) 228-8236
Entity
Organization

Contact information

Practice address
5600 SPRING MOUNTAIN RD, SUITE 200, LAS VEGAS, NV 89146-8821
(702) 228-8236
(702) 442-7190
Mailing address
5530 KINGS ROW CT, LAS VEGAS, NV 89148-4658
(702) 228-8236
(702) 442-7190

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5682-C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100518693
NV
Enumeration date
12/19/2010
Last updated
09/12/2011
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