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1194340265
SHANTYA JACKSON
LAS VEGAS, NV
NPI
1194340265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NV 10483-C)
Enumeration Date
2020-06-14
Last Update Date
2024-09-20
Business Address
Ms. SHANTYA JACKSON LCSW
601 N PECOS RD
LAS VEGAS, NV 89101-2408
Phone number: 808-205-6622
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Mailing Address
Ms. SHANTYA JACKSON LCSW
601 N PECOS RD
LAS VEGAS, NV 89101-2408
Phone number: 808-205-6622
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