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Individual

MS. SANDRA LYNN ABDULLAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1799 MOUNT MARIAH DR, LAS VEGAS, NV 89106-1501
(702) 209-9918
(702) 307-5421
Mailing address
386 SANCTUARY CT, HENDERSON, NV 89014-4588
(702) 431-0167
(702) 547-0606

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149005598
IL
1041C0700X
Clinical Social Worker
Primary
2859-C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100509694
NV
Enumeration date
09/29/2006
Last updated
05/06/2015
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