Organization
PHILIP RICCOBONO LCSW, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP LEONARD RICCOBONO LCSW, LTD (PRESIDENT)
(702) 515-3670
Entity
Organization
Contact information
Practice address
2740 S JONES BLVD, LAS VEGAS, NV 89146-5306
(702) 515-3670
(702) 227-3661
Mailing address
2740 S JONES BLVD, LAS VEGAS, NV 89146-5306
(702) 515-3670
(702) 227-3661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01246C
NV
Other
Enumeration date
07/09/2006
Last updated
04/15/2008
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