Individual
LISA RAE KORSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW & LCSW
Contact information
Practice address
5509 GHOST RIDER CT, LAS VEGAS, NV 89131-2064
(920) 242-8586
Mailing address
5509 GHOST RIDER CT, LAS VEGAS, NV 89131-2064
(920) 242-8586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
15337
WI
1041C0700X
Clinical Social Worker
1303123
WI
1041C0700X
Clinical Social Worker
Primary
9199-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9199-C
—
NV
Enumeration date
04/22/2008
Last updated
06/07/2024
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