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Individual

PHILIP JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
61 N WILLOW ST, SUITE 4, MESQUITE, NV 89027-4785
(702) 346-4696
(702) 346-4699
Mailing address
61 N WILLOW ST, SUITE 4, MESQUITE, NV 89027-4785
(702) 346-4696
(702) 346-4699

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2087-S
NV
171M00000X
Case Manager/Care Coordinator
Primary
2087-S
NV
225C00000X
Rehabilitation Counselor
2087-S
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88-6000022
STATE OF NEVADA
NV
Enumeration date
10/29/2013
Last updated
10/29/2013
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