Organization
CHRISTINE M. FORMICA
Active
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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