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1487200028
SHELLY BLACK
HENDERSON, NV
NPI
1487200028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NV 5643-C)
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
SHELLY BLACK LCSW
3021 W HORIZON RIDGE PKWY
HENDERSON, NV 89052-3990
Phone number: 702-646-5000
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Mailing Address
SHELLY BLACK LCSW
10325 JUNIPER CREEK LN
LAS VEGAS, NV 89145-8853
Phone number: 907-617-2415
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