Individual
THALIA PAULINA MAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-2415
Mailing address
2655 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-2415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801102147
MI
1041C0700X
Clinical Social Worker
Primary
9498-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
01/19/2017
Last updated
04/02/2025
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