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Individual

MS. AISHIA GREVENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5154 S DURANGO DR, STE 103, LAS VEGAS, NV 89113-3171
(702) 523-5226
(702) 834-4871
Mailing address
33 DELIGHTED AVE, NORTH LAS VEGAS, NV 89031-1393
(702) 523-5226
(702) 834-4871

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
4661-S
NV
1041C0700X
Clinical Social Worker
Primary
6121-C
NV
1041S0200X
School Social Worker
6121-C
NV

Other

Enumeration date
04/27/2009
Last updated
06/04/2013
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