Individual
MS. PAULA JANE BASKETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
277 GRAND OLYMPIA DR, HENDERSON, NV 89012-4810
(702) 433-1165
(702) 796-9490
Mailing address
277 GRAND OLYMPIA DR, HENDERSON, NV 89012-4810
(702) 433-1165
(702) 796-9490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4098-L
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001868625
TAX ID
NV
Enumeration date
09/14/2006
Last updated
07/08/2007
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