Individual
ABBIE M KICKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4955 S DURANGO DR STE 207, LAS VEGAS, NV 89113-0156
(702) 650-6508
(702) 650-6508
Mailing address
4955 S DURANGO DR STE 207, LAS VEGAS, NV 89113-0156
(702) 650-6508
(702) 650-6508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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