Individual
SHANA QUINN BACHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BASW
Contact information
Practice address
4801 SPENCER ST APT 158, LAS VEGAS, NV 89119-6263
(702) 202-5680
Mailing address
PO BOX 27794, LAS VEGAS, NV 89126-1794
(702) 202-5680
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
225400000X
NV
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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