Individual
DEBRA MARCUS DOODKEVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
5600 SPRING MOUNTAIN RD, STE 207, LAS VEGAS, NV 89146-8823
(702) 228-8236
(702) 442-7190
Mailing address
5530 KINGS ROW CT, LAS VEGAS, NV 89148-4658
(702) 219-5046
(702) 442-7190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5557-N
NV
1041C0700X
Clinical Social Worker
Primary
5682-C
NV
1041C0700X
Clinical Social Worker
LCS8748
CA
247200000X
Other Technician
CNTH#200510
NY
Other
Enumeration date
07/29/2009
Last updated
02/15/2022
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