Individual
MR. GIDEON ALBERTO AGATON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
2980 S. RAINBOW STE #210C, LAS VEGAS, NV 89146
(702) 673-7462
(702) 442-8900
Mailing address
2980 S RAINBOW BLVD STE 210C, LAS VEGAS, NV 89146-6531
(702) 673-7462
(702) 442-8900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NV
1041C0700X
Clinical Social Worker
Primary
9130-S
NV
Other
Enumeration date
10/03/2014
Last updated
03/01/2021
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