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NPI Code Detail

MEDICARE: FLORENCE DENISE SWEET MFT

MEDICARE: FLORENCE DENISE SWEET MFT
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1558631218
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORENCE DENISE SWEET MFT
Provider Business Mailing Address
First Line : 525 S 13TH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-7203
Country : US
Telephone Number : 702-380-2889
Fax Number :
Provider Business Practice Location Address
First Line : 525 S 13TH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-7203
Country : US
Telephone Number : 702-380-2889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2012
Last Update Date : 06/04/2012

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Directions to “ FLORENCE DENISE SWEET MFT” Practice Location

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