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Individual

CASSANDRA KIERSCH BOHNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 479-4881
(702) 966-8662
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
IC1393
NV
1041C0700X
Clinical Social Worker
Primary
9394-C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386076982
NV
01
8308-S
STATE LICENSE
NV
01
9394-C
STATE LICENSE
NV
Enumeration date
08/06/2013
Last updated
10/28/2022
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