Individual
MRS. ICIA REID-SANDULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
368 PLACER CREEK LN, HENDERSON, NV 89014-4557
(702) 369-0396
(702) 369-0396
Mailing address
368 PLACER CREEK LN, HENDERSON, NV 89014-4557
(702) 369-0396
(702) 369-0396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000000000
NV
Other
Enumeration date
09/07/2007
Last updated
09/08/2007
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