Individual
SHANIA WILFONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7464 W SAHARA AVE, SUITE #4, LAS VEGAS, NV 89117
(702) 869-4300
Mailing address
7464 W SAHARA AVE, SUITE #4, LAS VEGAS, NV 89117
(702) 869-4300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7058-C
NV
Other
Enumeration date
06/08/2007
Last updated
01/23/2019
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