Organization
AMERICAN GRACE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE B GLASPER-SATTWHITE MSW (CEO)
(702) 444-0235
Entity
Organization
Contact information
Practice address
3925 NORTH MARTIN LUTHER KING BLVD, SUITE #212, NORTH LAS VEGAS, NV 89032-7673
(702) 444-2335
(702) 992-3505
Mailing address
3925 NORTH MARTIN LUTHER KING BLVD, SUITE #212, NORTH LAS VEGAS, NV 89032-7673
(702) 444-2335
(702) 992-3505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9028-C
NEVADA SOCIAL WORK BOARD
NV
Enumeration date
11/14/2022
Last updated
11/14/2022
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