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Individual

MR. RAYMOND LOUIS GIDDENS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LSW

Contact information

Practice address
490 SUNRISE VILLA DR, LAS VEGAS, NV 89110-4043
(702) 445-6594
(702) 445-6594
Mailing address
3981 VULCAN ST., LAS VEGAS, NV 89122
(702) 445-6594
(702) 445-6594

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4696-S
NV

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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