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Individual

SIERRA VICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
350 CAPITOL HILL AVE, RENO, NV 89502-2923
(775) 324-6600
Mailing address
2866 CADENCE CT, RENO, NV 89523-2230
(775) 527-2077

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
8429-S
NV
1041C0700X
Clinical Social Worker
Primary
9874-C
NV

Other

Enumeration date
06/24/2019
Last updated
03/31/2022
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