Individual
MISS KELLY L. GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSW/MPH CADC-I
Contact information
Practice address
2975 S. RAINBOW BLVD, LAS VEGAS, NV 89146
(702) 228-8520
Mailing address
2975 S. RAINBOW BLVD, STE J, LAS VEGAS, NV 89146
(702) 228-8520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6236-S
NV
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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