Individual
VEX'ALIA WINTER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5426 VEGAS DR, LAS VEGAS, NV 89108-2403
(702) 806-5268
Mailing address
818 E FLAMINGO RD APT 503, LAS VEGAS, NV 89119-7335
(702) 506-1974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7829-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
LICENSE
NV
Enumeration date
09/08/2015
Last updated
08/19/2022
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