Individual
MRS. TOMMIE K FORAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5145 S DURANGO DR, SUITE 103, LAS VEGAS, NV 89113-0191
(702) 726-0709
(702) 248-2008
Mailing address
5145 S DURANGO DR, SUITE 103, LAS VEGAS, NV 89113-0191
(702) 726-0709
(702) 248-2008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5773C
NV
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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