Individual
ECHO TROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 EDISON WAY, RENO, NV 89502
(775) 284-4717
(775) 284-4595
Mailing address
650 EDISON WAY, RENO, NV 89502-4100
(775) 284-4717
(775) 284-4595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8011-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003069485
—
NV
Enumeration date
08/24/2016
Last updated
08/30/2018
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