Individual
LAJUANE DIAMONQUE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4538 W CRAIG RD STE 290, NORTH LAS VEGAS, NV 89032-2511
(806) 474-3567
Mailing address
3745 KONICA CT, LAS VEGAS, NV 89129-6839
(806) 474-3567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8522-S
NV
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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