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Individual

NICK ALLAN TANGEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LADC

Contact information

Practice address
9465 W POST RD, 2044, LAS VEGAS, NV 89148-5782
(319) 230-7336
Mailing address
9465 W POST RD, 2044, LAS VEGAS, NV 89148-5782
(319) 230-7336

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01455-L
NV
104100000X
Social Worker
007004
IA
104100000X
Social Worker
6095-S
NV
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
10/05/2011
Last updated
05/05/2017
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