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Organization

SIMPLY MOTIVATING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIONNE WALLACE (SOCIAL WORKER)
(702) 201-3859
Entity
Organization

Contact information

Practice address
9150 MACKANOS AVE, LAS VEGAS, NV 89148-4920
(702) 201-3859
(702) 489-2885
Mailing address
9150 MACKANOS AVE, LAS VEGAS, NV 89148-4920
(702) 201-3859
(702) 489-2885

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/14/2012
Last updated
05/14/2012
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