Individual
JENNER TATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5426 VEGAS DR, LAS VEGAS, NV 89108-2403
(702) 806-5268
Mailing address
5426 VEGAS DR, LAS VEGAS, NV 89108-2403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11884-M
NV
1041C0700X
Clinical Social Worker
IC-2575
NV
Other
Enumeration date
11/11/2024
Last updated
01/07/2025
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