Organization
NICOLAS PONZO, LCSW, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAS PONZO LCSW, M.ED (PRESIDENT)
(702) 248-1169
Entity
Organization
Contact information
Practice address
10161 PARK RUN DR, SUITE 150, LAS VEGAS, NV 89145-8871
(702) 248-1169
Mailing address
10161 PARK RUN DR, SUITE 150, LAS VEGAS, NV 89145-8871
(702) 248-1169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01258C
NV
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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