Individual
MS. GWENDOLYN G. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, LCSW
Contact information
Practice address
4538 WEST CRAIG ROAD, SUITE 290, LAS VEGAS, NV 89032
(702) 486-5610
(702) 486-5630
Mailing address
7057 BROWN DERBY CIR, LAS VEGAS, NV 89128-3424
(702) 254-8466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01029-C
NV
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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