Individual
JESSICA LANDRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW-I
Contact information
Practice address
2110 E FLAMINGO RD STE D, LAS VEGAS, NV 89119-5190
(702) 272-0987
(702) 823-1196
Mailing address
6575 W TROPICANA AVE APT 2097, LAS VEGAS, NV 89103-4745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-1303
NV
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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