Individual
JACOB CASSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8661 EMERALD GROVE WAY, LAS VEGAS, NV 89123-3616
(702) 210-0428
Mailing address
8661 EMERALD GROVE WAY, LAS VEGAS, NV 89123-3616
(702) 210-0428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104100000X
—
NV
Enumeration date
11/22/2013
Last updated
11/22/2013
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