Individual
DEIRDRE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, IC-1758
Contact information
Practice address
2980 S RAINBOW BLVD # 200E, LAS VEGAS, NV 89146-6531
(702) 673-7462
Mailing address
698 S RACETRACK RD UNIT 922, HENDERSON, NV 89015-8591
(408) 386-8955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1523P-S
NV
1041C0700X
Clinical Social Worker
Primary
IC-1758
NV
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/14/2013
Last updated
09/16/2021
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