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Individual

GIA UYEN T DIEP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3492 S CHIEFTAIN ST, LAS VEGAS, NV 89117-6723
(702) 885-5666
Mailing address
3492 S CHIEFTAIN ST, LAS VEGAS, NV 89117-6723
(702) 885-5666

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171M00000X
Case Manager/Care Coordinator
NV
251S00000X
Community/Behavioral Health Agency
NV
374700000X
Technician
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437783537
NV
Enumeration date
02/27/2020
Last updated
08/13/2020
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