Individual
ANDRE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3081 S VALLEY VIEW BLVD, LAS VEGAS, NV 89102-7890
(702) 910-3230
(702) 910-3230
Mailing address
2051 N TORREY PINES DR APT 2096, LAS VEGAS, NV 89108-6528
(702) 480-7416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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