Individual
MATTHEW BOMMARITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-4000
Mailing address
6171 WEST CHARLESTON BLVD., LAS VEGAS, NV 89146
(702) 486-4000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8894
NV
Other
Enumeration date
07/06/2017
Last updated
02/20/2024
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