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Individual

ALEC HILARIO BUSTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7661 CONSTELLATION ST, LAS VEGAS, NV 89123-4700
(909) 614-9277
Mailing address
7661 CONSTELLATION ST, LAS VEGAS, NV 89123-4700
(909) 614-9277

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12439-C
NV
1041C0700X
Clinical Social Worker
LCSW136809
CA
106S00000X
Behavior Technician

Other

Enumeration date
01/10/2023
Last updated
05/09/2026
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