Individual
CASIE QUINN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7390 W SAHARA AVE STE 240, LAS VEGAS, NV 89117-2764
(702) 305-0234
Mailing address
7390 W SAHARA AVE STE 240, LAS VEGAS, NV 89117-2764
(702) 305-0234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7732-S
NV
1041C0700X
Clinical Social Worker
Primary
IC-1841
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250004098
—
NV
Enumeration date
01/07/2018
Last updated
07/29/2022
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