Individual
TREVOR MILAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 E SUNSET RD, LAS VEGAS, NV 89119-3518
(201) 925-0779
(702) 257-9411
Mailing address
6869 TAMARUS ST, LAS VEGAS, NV 89119-0391
(201) 925-0779
(702) 257-9411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8975-S
NV
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099
—
NV
Enumeration date
10/07/2014
Last updated
07/23/2021
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