Individual
MS. SHANTHI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4650 N RAINBOW BLVD APT 2042, LAS VEGAS, NV 89108-5763
(808) 205-4335
Mailing address
4650 N RAINBOW BLVD. 2042, LAS VEGAS, NV 89108
(808) 205-4335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5937-S
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1135
—
NV
Enumeration date
07/02/2013
Last updated
07/02/2013
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