Individual
REAGAN ELIZABETH KNOBLAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 E SAHARA AVE STE 210, LAS VEGAS, NV 89104-3739
(702) 383-8073
Mailing address
6333 CROMWELL AVE, LAS VEGAS, NV 89107-2566
(702) 561-2183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-1053
NV
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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