Organization
NICOLE O'HARTZ L.C.S.W
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHUCKALINE O'HARTZ L.C.S.W (CLINICAL SOCIAL WORKER)
(702) 413-6360
Entity
Organization
Contact information
Practice address
1516 E TROPICANA AVE, 290, 291, LAS VEGAS, NV 89119-6525
(702) 413-6360
(702) 413-6364
Mailing address
1516 E TROPICANA AVE, 290, 291, LAS VEGAS, NV 89119-6525
(702) 413-6360
(702) 413-6364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5495-C
NV
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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