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NPI Code Detail

MEDICARE: MRS. VALERIE MARIE DUQUE B.S. M.S.W. LCSW

MEDICARE: MRS. VALERIE MARIE DUQUE B.S. M.S.W. 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 Worker7780-CNV

General Provider Information

NPI Number : 1497034276
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VALERIE MARIE DUQUE B.S. M.S.W. LCSW
Provider Business Mailing Address
First Line : 2903 TREMONT AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4569
Country : US
Telephone Number : 702-688-2228
Fax Number :
Provider Business Practice Location Address
First Line : 4180 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5074
Country : US
Telephone Number : 702-486-7503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2011
Last Update Date : 05/21/2021

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