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Individual

NICHOLLETTE MIYOKO MORITA

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
(702) 791-9386
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
(702) 791-9836

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7308-C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSR-H2017
NV
Enumeration date
06/10/2011
Last updated
09/25/2023
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