Individual
JACOB PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
8950 W TROPICANA AVE STE 1, LAS VEGAS, NV 89147-8138
(702) 240-8639
Mailing address
3554 SIERRA PATRICIA AVE, LAS VEGAS, NV 89121-5811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10679-M
NV
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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