Individual
TARAH SHEA SOCKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 S TOWN CENTER DR, #2118, LAS VEGAS, NV 89135-2064
(702) 750-4197
Mailing address
2600 S TOWN CENTER DR, #2118, LAS VEGAS, NV 89135-2064
(702) 750-4197
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1401093061
NV
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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