Individual
MAUREEN DORIS AQUILINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7860 WEST SAHARA AVENUE, STE 170, LAS VEGAS, NV 89117
(702) 538-9476
Mailing address
PO BOX 401298, LAS VEGAS, NV 89140-1298
(702) 285-3342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6135-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
TAXONOMY CODE
NV
Enumeration date
03/29/2012
Last updated
03/29/2012
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