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Jennifer Lynn Souba, LSW

Social Worker, Clinical in Reno, NV. Individual provider (NPI-1).

NPI number1730719600
StatusActive
Last updated in NPPESJan 20, 2020

Details

NPI
1730719600
Entity type
Individual (NPI-1)
Name
Jennifer Lynn Souba
Credential
LSW
Sex
Female
Sole proprietor
No
Enumeration date
Jan 20, 2020
Certification date
Jan 20, 2020
Last updated
Jan 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical8389-SNVYes

Practice location

3690 Grant Dr Ste I
Reno, NV 89509-5360

Phone 775-386-8755

Mailing address

6155 Plumas St Apt 209
Reno, NV 89519-6043

Phone 775-515-5137

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