Individual
KELLY A SCHALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(910) 286-9670
Mailing address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(910) 286-9670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10885-C
NV
1041C0700X
Clinical Social Worker
Primary
C009294
NC
Other
Enumeration date
09/17/2012
Last updated
05/14/2024
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