Individual
BLAISE DAVID SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 N MAIN ST, LAS VEGAS, NV 89101-1931
(702) 202-6647
Mailing address
1711 WHITNEY MESA DR, HENDERSON, NV 89014-2080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-2375
NV
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/03/2017
Last updated
04/08/2024
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