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Individual

CLINTON HOUSE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9682 DIETERICH AVE, LAS VEGAS, NV 89148-5738
(702) 300-2379
Mailing address
9682 DIETAICH AVE, LAS VEGAS, NV 89148
(702) 300-2379
(702) 644-6031

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/01/2010
Last updated
09/01/2010
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