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NPI Code Detail

MEDICARE: CARLY ANN ALDIS LCSW

MEDICARE:   CARLY ANN ALDIS  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 Worker6615-CNV

General Provider Information

NPI Number : 1669771978
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY ANN ALDIS LCSW
Provider Business Mailing Address
First Line : 1311 TEMPO ST
Second Line :
City : HENDERSON
State : NV
Zip : 89052-6502
Country : US
Telephone Number : 702-486-4446
Fax Number :
Provider Business Practice Location Address
First Line : 3145 E WARM SPRINGS RD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3140
Country : US
Telephone Number : 702-808-8141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 11/26/2024

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Directions to “ CARLY ANN ALDIS LCSW” Practice Location

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