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Individual

DISA ESPIRITU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2533 LA FORTUNA AVE, LAS VEGAS, NV 89121-5436
(702) 354-5996
Mailing address
PO BOX, HONOLULU, HI 96828
(702) 354-5996

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4473
HI

Other

Enumeration date
06/25/2011
Last updated
04/24/2020
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