Individual
CHASSTIRY VAZQUEZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 CHANDLER AVE STE 3, LAS VEGAS, NV 89120-4064
(725) 204-8809
Mailing address
6853 FALLEN ROCK ST, NORTH LAS VEGAS, NV 89084-2582
(702) 378-3166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10407-C
NV
Other
Enumeration date
02/10/2020
Last updated
09/11/2023
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