Individual
MALLORY JAYNE DAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3035 S MARYLAND PKWY, LAS VEGAS, NV 89109-2200
(775) 298-6085
Mailing address
3035 S MARYLAND PKWY, LAS VEGAS, NV 89109-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
05/11/2024
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