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Individual

SHAWN MANGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
730 W CHEYENNE AVE, SUITE 60, NORTH LAS VEGAS, NV 89030-7848
(702) 258-0031
(702) 221-0103
Mailing address
730 W CHEYENNE AVE, SUITE 60, NORTH LAS VEGAS, NV 89030-7848
(702) 258-0031
(702) 221-0103

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5239-S
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5239-S
NEVADA STATE BOARD OF EXAMINERS FOR SOCIAL WORKERS
NV
Enumeration date
03/19/2015
Last updated
03/19/2015
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