Individual
STEPHANIE MICHELLE PANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1785 E SAHARA AVE STE 160, LAS VEGAS, NV 89104-3759
(702) 252-8342
Mailing address
1785 E SAHARA AVE STE 160, LAS VEGAS, NV 89104-3759
(702) 252-8342
(702) 252-8342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1312P-S
NV
104100000X
Social Worker
Primary
9097-S
NV
104100000X
Social Worker
IC-1624
NV
Other
Enumeration date
09/03/2020
Last updated
08/12/2021
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