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Individual

DEXTER WEATHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2191 PINETOP LN, UNIT #108, LAS VEGAS, NV 89119-7812
(702) 806-1380
Mailing address
2191 PINETOP LN, UNIT #108, LAS VEGAS, NV 89119-7812

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104100000X
Social Worker

Other

Enumeration date
01/16/2016
Last updated
01/16/2016
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