Individual
MARISSA BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7461 TUCKER WILLIAM ST, LAS VEGAS, NV 89149-1975
(702) 580-8516
Mailing address
10170 CANYON MANTLE ST, LAS VEGAS, NV 89166-1376
(702) 580-8516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11915-C
NV
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
NV
Other
Enumeration date
03/20/2018
Last updated
07/01/2025
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