Individual
STARLA SOUTHWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
245 E CENTENNIAL PKWY APT 1053, NORTH LAS VEGAS, NV 89084-1358
(251) 623-0713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107381
TX
1041C0700X
Clinical Social Worker
11998-C
NV
1041C0700X
Clinical Social Worker
Primary
SW17586
FL
Other
Enumeration date
05/28/2020
Last updated
09/05/2025
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