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Individual

EZEKIEL HOWARD AMOSA VINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
955 S VIRGINIA ST STE 212, RENO, NV 89502-2478
(775) 346-4191
Mailing address
251 E 224TH ST S, ELY, NV 89301-9630
(775) 296-2506

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11721-M
NV

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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