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NPI Code Detail

MEDICARE: EMILY JANE KAUFMANN LCSW

MEDICARE: EMILY JANE KAUFMANN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker4974CNV

General Provider Information

NPI Number : 1235317918
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY JANE KAUFMANN LCSW
Provider Business Mailing Address
First Line : 6900 PECOS RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086-4400
Country : US
Telephone Number : 702-791-9000
Fax Number :
Provider Business Practice Location Address
First Line : 7235 S BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4040
Country : US
Telephone Number : 702-791-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2008
Last Update Date : 07/12/2023

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Directions to “ EMILY JANE KAUFMANN LCSW” Practice Location

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