Joseph Bork
Social Worker, Clinical in Las Vegas, NV. Individual provider (NPI-1).
NPI number1699456244
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1699456244
- Entity type
- Individual (NPI-1)
- Name
- Joseph Bork
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2023
- Certification date
- Jul 26, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10853-m | NV | Yes |
Practice location
8950 W Tropicana Ave Ste 1Las Vegas, NV 89147-8138
Phone 702-240-8639 · Fax 702-240-6970
Mailing address
7180 Cascade Valley Ct Ste 200Las Vegas, NV 89128-0481
Phone 702-240-8639 · Fax 702-240-6970
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