Individual
DEMETRIA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E CHARLESTON BLVD STE 130, LAS VEGAS, NV 89104-6681
(702) 968-5059
Mailing address
1401 N MICHAEL WAY APT 148, LAS VEGAS, NV 89108-1460
(702) 480-1031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-1138
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6876-S
STATE OF NEVADA BOARD OF EXAMINERS FOR SOCIAL WORKERS
NV
01
—
8665-C
STATE OF NEVADA BOARD OF EXAMINERS FOR SOCIAL WORKERS
NV
01
—
IC-1138
STATE OF NEVADA BOARD OF EXAMINERS FOR SOCIAL WORKERS
NV
Enumeration date
07/03/2014
Last updated
12/11/2019
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