Individual
LARISA A TARASOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9061 ALPINE PEAKS AVE, LAS VEGAS, NV 89147-7819
(702) 502-4754
Mailing address
9061 ALPINE PEAKS AVE, LAS VEGAS, NV 89147-7819
(702) 502-4754
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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