Individual
MS. SHEENA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW INTERN
Contact information
Practice address
4170 S DECATUR BLVD STE C1, LAS VEGAS, NV 89103-5863
(702) 659-8827
Mailing address
370 AMBITIOUS ST, HENDERSON, NV 89011-2577
(347) 357-3196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7288-S
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598015240
—
NV
Enumeration date
09/01/2017
Last updated
09/01/2017
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