TRACEY TAKETA FUGAZZI

LAS VEGAS, NV
NPI1922112069
Former NameTRACEY KOTOMI TAKETA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NV  4113-C)
Enumeration Date2006-08-18
Last Update Date2007-07-08
Business Address
-- TRACEY TAKETA FUGAZZI MSW, LCSW
7455 W WASHINGTON AVE #480
LAS VEGAS, NV 89128-4337
Phone number: 702-889-5525
Mailing Address
-- TRACEY TAKETA FUGAZZI MSW, LCSW
7455 W WASHINGTON AVE #480
LAS VEGAS, NV 89128-4337
Phone number: 702-889-5525
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