Individual
TANGY DENISE GOFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 W MONROE AVE, LAS VEGAS, NV 89106-2914
(702) 462-1893
Mailing address
1129 W MONROE AVE, LAS VEGAS, NV 89106-2914
(702) 462-1893
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
NV20121267098
NV
Other
Enumeration date
11/24/2012
Last updated
11/24/2012
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