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Individual

KENLY BANSAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(402) 995-5401
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 533-4749

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1656
NE
1041C0700X
Clinical Social Worker
4814
NE
1041C0700X
Clinical Social Worker
9418-C
NV

Other

Enumeration date
09/20/2016
Last updated
07/16/2024
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