Tracey Taketa Fugazzi MSW, LCSW

NPI 1922112069 - Social Worker - 1041C0700X

NPI Details
NPI 1922112069
Gender Female
Enumeration Date 08/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7455 W WASHINGTON AVE
#480
LAS VEGAS NV, 89128-4337, US
Phone (702) 889-5525
Fax
Business Location
7455 W WASHINGTON AVE
#480
LAS VEGAS NV, 89128-4337, US
Phone (702) 889-5525
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Nevada
License Number 4113-C
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According to our database, Tracey Taketa Fugazzi MSW, LCSW NPI is 1922112069, taxonomy code is 1041C0700X and license number is 4113-C, license state is located at Nevada. Tracey Taketa Fugazzi MSW, LCSW physically located at 7455 W Washington Ave, Las Vegas NV, 89128-4337. NPI Number Tracey Taketa Fugazzi MSW, LCSW has the Individual type.

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1922112069 NPI number is provided on an as is basis without warranty of any kind. 1922112069 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Taketa Fugazzi MSW, LCSW are for informational purposes only.