Individual
ALICIA ANTOINETTE RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2400 N TENAYA WAY STE 301, LAS VEGAS, NV 89128-0645
(725) 222-0263
Mailing address
2400 N TENAYA WAY STE 301, LAS VEGAS, NV 89128-0645
(725) 222-0263
(725) 262-5630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9752-C
NV
Other
Enumeration date
07/24/2019
Last updated
06/24/2025
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