Individual
KELSEY LAYNE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CSW-INTERN
Contact information
Practice address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(775) 388-3787
Mailing address
1042 COMMERCIAL ST, ELKO, NV 89801-3948
(775) 388-3787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8327-S
NV
1041C0700X
Clinical Social Worker
Primary
IC-1457
NV
Other
Enumeration date
06/25/2019
Last updated
05/12/2020
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