Individual
MELISSA C KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9030
Mailing address
4262 BLUE DIAMOND RD, SUITE 102, PMB 277, LAS VEGAS, NV 89139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904007960
VA
1041C0700X
Clinical Social Worker
Primary
I1200414
OH
Other
Enumeration date
11/19/2012
Last updated
08/09/2023
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