Individual
WENDY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
5525 CRIMSON RIDGE DR, LAS VEGAS, NV 89130-5133
(703) 728-2615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
7152-S
NV
1041C0700X
Clinical Social Worker
Primary
7925-C
NV
Other
Enumeration date
08/24/2015
Last updated
01/31/2024
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