Individual
LA'SONYA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 844-4580
Mailing address
630 S RANCHO DR, LAS VEGAS, NV 89106-4873
(702) 998-9505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1169P-S
NV
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
06/08/2020
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