Individual
MS. LISA MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W SAHARA AVE STE 800, LAS VEGAS, NV 89102-4397
(702) 706-3668
(702) 920-8641
Mailing address
2300 W SAHARA AVE STE 800, LAS VEGAS, NV 89102-4397
(702) 706-3668
(702) 920-8641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7423-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821006297
—
NV
Enumeration date
08/03/2006
Last updated
01/15/2024
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