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Individual

MATTHEW SCOTT DUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6070 S EASTERN AVE, #200, LAS VEGAS, NV 89119-3171
(702) 292-3774
Mailing address
3421 BRAYTON MIST DR, NORTH LAS VEGAS, NV 89081-6527

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6118-C
NV

Other

Enumeration date
11/25/2009
Last updated
04/04/2012
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