MRS. Marysol Rezanov, LCSW

NPI #1003127499 in Las Vegas, Nevada

Provider Information

NPI Number: 1003127499
Entity Type: Individual
Name: MRS. Marysol Rezanov, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 30, 2010
Last Updated: Oct 16, 2017

Practice Location

Address: 4170 S DECATUR BLVD STE C1
City: Las Vegas
State: Nevada
ZIP Code: 89103-5863
Phone: (702) 659-8827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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