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Individual

MRS. LISA S DUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1408 S JONES BLVD, LAS VEGAS, NV 89146-1231
(347) 920-1420
Mailing address
4700 LAS VEGAS BLVD NORTH, NELLIS AFB HOSPITAL, LAS VEGAS, NV 89014
(347) 920-1420

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7371-C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467505677
NV
Enumeration date
01/19/2007
Last updated
11/01/2018
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