Individual
MR. ANTONIO JORGE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W/L.S.W-PENDING
Contact information
Practice address
4285 N RANCHO DR, STE 130, LAS VEGAS, NV 89130-3446
(702) 385-5331
(702) 385-5678
Mailing address
9101 W SAHARA AVE, STE 105 #190, LAS VEGAS, NV 89117-5772
(702) 266-5636
(702) 869-8870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
NV
05
—
225400000X
—
NV
Enumeration date
02/01/2011
Last updated
02/01/2011
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