Individual
JASON BRENDE WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A. SOCIOLOGY
Contact information
Practice address
4660 S EASTERN AVE, 202, LAS VEGAS, NV 89119-6137
(702) 451-7542
(702) 450-4239
Mailing address
4660 S EASTERN AVE, 104A, LAS VEGAS, NV 89119-6137
(702) 451-7542
(702) 450-4239
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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