Individual
IRIS RAMONA JESSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 S JONES BLVD STE 110, LAS VEGAS, NV 89146-6793
(702) 562-1238
Mailing address
3030 S JONES BLVD STE 110, LAS VEGAS, NV 89146-6793
(702) 562-1238
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
IC-856
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2926-S
BOARD SOCIAL WORK LICENSE NUMBER
NV
01
—
IC-856
SOCIAL WORK CSW NUMBER
NV
Enumeration date
09/03/2014
Last updated
09/03/2014
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