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Individual

GENIE PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5426 VEGAS DR, LAS VEGAS, NV 89108-2403
(702) 806-5268
Mailing address
5426 VEGAS DR, LAS VEGAS, NV 89108-2403
(702) 806-5268

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10267-M
NV

Other

Enumeration date
11/17/2022
Last updated
11/17/2022
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