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Individual

RONALD CRAIG MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
525 S 13TH ST, LAS VEGAS, NV 89101-7203
(702) 525-0088
(702) 380-2893
Mailing address
525 S 13TH ST, LAS VEGAS, NV 89101-7203
(702) 525-0088
(702) 380-2893

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00648
NV
104100000X
Social Worker
Primary
ASW22325
CA

Other

Enumeration date
10/25/2011
Last updated
10/25/2011
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