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Individual

MRS. KRYSTAL KAI BRASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7495 W AZURE DR, LAS VEGAS, NV 89130-4416
(702) 625-5212
(702) 827-0340
Mailing address
PO BOX 752182, LAS VEGAS, NV 89136-2182
(702) 625-5212
(702) 827-0340

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2928-S
NV
104100000X
Social Worker
IC-1156
NV
1041C0700X
Clinical Social Worker
Primary
9087-C
NV

Other

Enumeration date
12/06/2011
Last updated
01/03/2022
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