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NPI Code Detail

MEDICARE: ESMERALDA RICO-ALDAZ LCSW

MEDICARE: ESMERALDA RICO-ALDAZ LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker7330-CNV

General Provider Information

NPI Number : 1255636965
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMERALDA RICO-ALDAZ LCSW
Provider Business Mailing Address
First Line : 3680 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3180
Country : US
Telephone Number : 702-646-5437
Fax Number :
Provider Business Practice Location Address
First Line : 3680 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3180
Country : US
Telephone Number : 702-646-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2011
Last Update Date : 03/15/2017

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Directions to “ ESMERALDA RICO-ALDAZ LCSW” Practice Location

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