Organization
CHRISTINE M. FORMICA
Active
Other names
Saint Rose Children and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE MICHELLE FORMICA MSW (DIRECTOR)
(702) 327-2829
Entity
Organization
Contact information
Practice address
2152 JASPER BLUFF ST UNIT 105, LAS VEGAS, NV 89117-5977
(702) 327-2829
Mailing address
2152 JASPER BLUFF ST UNIT 105, LAS VEGAS, NV 89117-5977
(702) 327-2829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5789-C
NV
253J00000X
Foster Care Agency
Primary
5789-C
NV
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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