Individual
MS. MAXINE RISEN NUDELMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 636-3000
Mailing address
128 KAVA KAVA ST, HENDERSON, NV 89015-2405
(702) 636-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO35250-1
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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