Organization
CITIZENEX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M FURR (CHAIR, BOARD OF DIRECTORS)
(702) 274-1890
Entity
Organization
Contact information
Practice address
1805 S EASTERN AVE, LAS VEGAS, NV 89104-3933
(702) 274-1890
(702) 221-5686
Mailing address
PO BOX 750221, LAS VEGAS, NV 89136-0221
(702) 274-1890
(702) 221-5686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4857-C
NV
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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