Individual
DONNA JEAN CUDE-ISLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2564 RAMPART TER, RENO, NV 89519-8361
(915) 494-1861
Mailing address
2564 RAMPART TER, RENO, NV 89519-8361
(915) 494-1861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7078-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7078-C
STATE LICENSE
NV
Enumeration date
12/23/2019
Last updated
12/23/2019
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