Individual
VALERIE ILAINE KINNIKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW MAC
Contact information
Practice address
4000 E CHARLESTON BLVD, B130, LAS VEGAS, NV 89104-6659
(702) 968-4000
Mailing address
10000 BOW RIDGE CT, LAS VEGAS, NV 89145-8809
(702) 645-7313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2173C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507624
—
NV
Enumeration date
05/10/2006
Last updated
06/10/2008
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