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Individual

VIRGILIO DESIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1000 S RAINBOW BLVD, LAS VEGAS, NV 89145-6231
(702) 479-4881
(702) 966-8662
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
076106
NY
1041C0700X
Clinical Social Worker
Primary
6200-C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073764239
NV
Enumeration date
10/07/2008
Last updated
01/10/2017
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