Individual
JENNIFER SWILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W CHEYENNE AVE STE 30, N LAS VEGAS, NV 89030-7817
(702) 487-5665
Mailing address
720 W CHEYENNE AVE STE 30, N LAS VEGAS, NV 89030-7817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1403801567
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1403801567
—
NV
Enumeration date
08/16/2011
Last updated
08/16/2011
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