Individual
HILARY MODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6350 TARA AVE, LAS VEGAS, NV 89146-5241
(917) 547-9940
Mailing address
6350 TARA AVE, LAS VEGAS, NV 89146-5241
(917) 547-9940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9152-C
NV
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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