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NPI Code Detail

MEDICARE: STEVEN ARCHER LCSW

MEDICARE: STEVEN ARCHER 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 Worker7710-CNV

General Provider Information

NPI Number : 1295152650
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN ARCHER LCSW
Provider Business Mailing Address
First Line : 6402 MCLEOD DR STE 5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4406
Country : US
Telephone Number : 702-898-5311
Fax Number : 702-222-3275
Provider Business Practice Location Address
First Line : 6402 MCLEOD DR STE 5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4406
Country : US
Telephone Number : 702-898-5311
Fax Number : 702-222-3275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 10/25/2018

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