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NPI Code Detail

MEDICARE: DEBRA G WALDMAN LCSW

MEDICARE: DEBRA G WALDMAN 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 Worker8325-CNV

General Provider Information

NPI Number : 1609146497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA G WALDMAN LCSW
Provider Business Mailing Address
First Line : PO BOX 34601
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-4601
Country : US
Telephone Number : 702-277-9426
Fax Number : 702-795-4141
Provider Business Practice Location Address
First Line : 410 S RAMPART BLVD STE 390
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-5749
Country : US
Telephone Number : 702-277-9426
Fax Number : 702-795-4141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2012
Last Update Date : 10/06/2020

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