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Organization

COGNITIVE CARE SUPPORT SERVICES L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANNA BETH MOSLANDER LCSW (OWNER)
(405) 212-7348
Entity
Organization

Contact information

Practice address
2831 SAINT ROSE PKWY STE 200, HENDERSON, NV 89052-4841
(405) 212-7348
Mailing address
2831 SAINT ROSE PKWY STE 200, HENDERSON, NV 89052-4841
(405) 212-7348

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376889378
NV
Enumeration date
06/10/2021
Last updated
06/10/2021
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