NPI 1003127499

Marysol Rezanov, LCSW

Practitioner Clinical Social Worker Las Vegas, NV

Practice location

Address: 4170 S Decatur Blvd STE C1, Las Vegas, NV 89103-5863
Phone: (702) 659-8827
Fax: (702) 852-0984

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6215-C (NV)

Other Social Worker providers in Nevada →

Registry record

NPI: 1003127499
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2010
Record last updated: 16 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.