Individual
AMANDA MICHELLE PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(865) 964-8561
Mailing address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(865) 964-8561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7526-S
NV
1041C0700X
Clinical Social Worker
Primary
8531-C
NV
1041C0700X
Clinical Social Worker
IC-1121
NV
Other
Enumeration date
11/11/2015
Last updated
08/19/2019
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