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1780061275
TANISHA DIXON FORD
LAS VEGAS, NV
NPI
1780061275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-05-04
Last Update Date
2022-07-21
Business Address
-- TANISHA DIXON FORD
2110 E FLAMINGO RD STE 350
LAS VEGAS, NV 89119-5190
Phone number: 702-270-3219
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Mailing Address
-- TANISHA DIXON FORD
2110 E FLAMINGO RD STE 350
LAS VEGAS, NV 89119-5190
Phone number: 702-270-3219
Copy
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