Individual
MS. JENNIFER ANN FITKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(319) 415-9697
Mailing address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(319) 415-9697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06796
IA
1041C0700X
Clinical Social Worker
Primary
6101-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074435
—
IA
Enumeration date
10/29/2008
Last updated
10/30/2015
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