Individual
AMY ELLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2410 FIRE MESA ST, #180, FAMILY PRACTICE CENTER, LAS VEGAS, NV 89128-9016
(702) 992-6888
(702) 992-6880
Mailing address
2410 FIRE MESA ST STE 180, FAMILY PRACTICE CENTER, LAS VEGAS, NV 89128-9017
(702) 992-6888
(702) 992-6880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01405-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500818
—
NV
Enumeration date
01/03/2006
Last updated
04/24/2013
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