Individual
JILL PERRY-KEBEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7473 W LAKE MEAD BLVD, 221, LAS VEGAS, NV 89128-0265
(702) 562-1248
Mailing address
3937 SPENCER ST, LAS VEGAS, NV 89119-5203
(702) 604-5326
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/25/2011
Last updated
09/29/2011
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