Individual
MRS. SUSAN KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6039 ELDORA AVE, LAS VEGAS, NV 89146-5611
(702) 493-3312
Mailing address
6039 ELDORA AVE, LAS VEGAS, NV 89146-5611
(702) 493-3312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4591C
NV
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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