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Individual

MS. KAREN SUE SIFUENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2412 ELMONT AVE, NORTH LAS VEGAS, NV 89086-1556
(916) 485-6500
Mailing address
2412 ELMONT AVE, NORTH LAS VEGAS, NV 89086-1556
(916) 904-0062

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
34543
CA
1041C0700X
Clinical Social Worker
76306
CA
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275756322
CA
Enumeration date
09/06/2011
Last updated
06/05/2025
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