Individual
SHAWNAE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1485 W WARM SPRINGS RD, HENDERSON, NV 89014-7631
(702) 486-0083
Mailing address
1485 W WARM SPRINGS RD, HENDERSON, NV 89014-7631
(702) 486-0083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11436-C
NV
Other
Enumeration date
04/06/2021
Last updated
04/30/2024
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