Individual
KURT DIETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6284 SOUTH RAINBOW BOULEVARD # 110, LAS VEGAS, NV 89118-3245
(702) 371-0180
Mailing address
705 JACOBS LADDER PL, LAS VEGAS, NV 89138-7540
(702) 371-0180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4795-C
NV
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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