Organization
PROJECT LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PUCCI PHD, LCSW (CLINICAL DIRECTOR)
(702) 608-0404
Entity
Organization
Contact information
Practice address
1770 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89012-5024
(702) 608-0404
Mailing address
1770 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89012-5024
(702) 608-0404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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