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NPI Code Detail

MEDICARE: JANE MASTRINI L.C.S.W.

MEDICARE:   JANE  MASTRINI  L.C.S.W.
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 Worker3022-CNV

General Provider Information

NPI Number : 1285990879
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE MASTRINI L.C.S.W.
Provider Business Mailing Address
First Line : 219 CHESTNUT RIDGE CIR
Second Line :
City : HENDERSON
State : NV
Zip : 89012-2162
Country : US
Telephone Number : 702-260-9957
Fax Number :
Provider Business Practice Location Address
First Line : 6330 MCLEOD DR
Second Line : STE. 4 & 5
City : LAS VEGAS
State : NV
Zip : 89120-4430
Country : US
Telephone Number : 702-260-9957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2012
Last Update Date : 04/08/2012

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Directions to “ JANE MASTRINI L.C.S.W.” Practice Location

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