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NPI 1144772112

NPI 1144772112 : MONICA LEE CHANDLER LCSW : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1144772112
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA LEE CHANDLER LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/26/2016
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    Last Update Date     |    05/19/2025
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Provider Practice Location Address
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    Address Line         |    250 E HORIZON DR STE 120 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89015-8059
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    Country              |    US
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    Telephone            |    801-200-2621
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    Fax                  |    702-551-5170
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Provider Business Mailing Address
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    Address Line         |    850 S BOULDER HWY STE 102 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89015-7564
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    Country              |    US
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    Telephone            |    775-400-2340
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    Fax                  |    702-551-5170
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    10865-C
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    License Number State |    NV
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