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Individual

SOPHIE IRENE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3085 S. JONES BLVD. SUITE D, MOBILE MENTAL HEALTH SUPPORT SERVICES, INC., LAS VEGAS, NV 89146
(702) 826-3219
Mailing address
1321 SOUTH RAINBOW BLVD. SUITE #240, ASPIRE BEHAVIORAI HEALTH, LAS VEGAS, NV 89104
(702) 826-3219

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
11/19/2014
Last updated
11/19/2014
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