Individual
LYNNETTE VANESSA ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3880
Mailing address
3713 SMOKING GUN CT, LAS VEGAS, NV 89129-8225
(703) 887-6812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078757
DC
1041C0700X
Clinical Social Worker
LG50078459
DC
Other
Enumeration date
12/11/2006
Last updated
02/02/2015
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