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Individual

NICOLE LOUISE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
570 W CHEYENNE AVE STE 10, N LAS VEGAS, NV 89030-3931
(702) 633-5096
Mailing address
1712 GATEWOOD DR, LAS VEGAS, NV 89108-2518

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/05/2026
Last updated
06/05/2026
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