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NPI Code Detail

MEDICARE: GINA MORELLI LSW

MEDICARE: GINA MORELLI LSW
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
1104100000XSocial Worker5424-SNV

General Provider Information

NPI Number : 1336435254
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA MORELLI LSW
Provider Business Mailing Address
First Line : 714 E SAHARA AVE
Second Line : SUITE 101
City : LAS VEGAS
State : NV
Zip : 89104-2942
Country : US
Telephone Number : 702-369-8700
Fax Number : 702-369-8489
Provider Business Practice Location Address
First Line : 714 E SAHARA AVE
Second Line : SUITE 101
City : LAS VEGAS
State : NV
Zip : 89104-2942
Country : US
Telephone Number : 702-369-8700
Fax Number : 702-369-8489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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Directions to “ GINA MORELLI LSW” Practice Location

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