Individual
SHA-VONN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 AITKEN ST, RENO, NV 89502-1314
(759) 346-0437
Mailing address
170 E KENSINGTON AVE, SALT LAKE CITY, UT 84115-1629
(775) 934-6043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8317-S
NV
Other
Enumeration date
04/09/2013
Last updated
11/22/2019
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