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NPI Code Detail

MEDICARE: ILIA T SANCHEZ LCSW

MEDICARE: ILIA T SANCHEZ 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
1225400000XRehabilitation Practitioner
21041C0700XClinical Social Worker7114-CNV

General Provider Information

NPI Number : 1326358763
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILIA T SANCHEZ LCSW
Provider Business Mailing Address
First Line : 4001 S DECATUR BLVD STE 25
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-5857
Country : US
Telephone Number : 725-224-6967
Fax Number : 833-749-0357
Provider Business Practice Location Address
First Line : 4001 S DECATUR BLVD STE 25
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-5857
Country : US
Telephone Number : 725-224-6967
Fax Number : 833-749-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2010
Last Update Date : 09/22/2022

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Directions to “ ILIA T SANCHEZ LCSW” Practice Location

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