Individual
KORI DETMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW-INTERN
Contact information
Practice address
4000 E CHARLESTON BLVD STE 130, LAS VEGAS, NV 89104-6681
(702) 968-4000
(702) 968-4040
Mailing address
4000 E CHARLESTON BLVD STE 130, LAS VEGAS, NV 89104-6681
(702) 968-4000
(702) 968-4040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-708
NV
Other
Enumeration date
03/18/2011
Last updated
11/14/2011
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