Individual
MR. MARK A. PREMSELAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
780 CORONADO CENTER DR, SUITE 110-A, HENDERSON, NV 89052-5040
(702) 358-0464
(702) 506-0098
Mailing address
780 CORONADO CENTER DRIVE, SUITE 110-A, HENDERSON, NV 89052-5056
(702) 358-0464
(702) 506-0098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5782-C
NV
Other
Enumeration date
08/13/2006
Last updated
10/07/2010
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