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Individual

MRS. SHIRLEY A COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
6375 W CHARLESTON BLVD STE A-100, LAS VEGAS, NV 89146-1139
(702) 253-0818
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-7118

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8182-S
NV
1041C0700X
Clinical Social Worker
Primary
9135-C
NV

Other

Enumeration date
02/08/2019
Last updated
08/31/2021
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