MR. Paul Lawrence A Defiesta, MSW, LCSWA, LMSW
NPI #1184246597 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1184246597
- Entity Type
- Individual
- Name
- MR. Paul Lawrence A Defiesta, MSW, LCSWA, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSWA, LMSW
- Enumeration Date
- May 8, 2020
- Last Updated
- Apr 18, 2024
Practice Location
- Address
- 4700 LAS VEGAS BLVD N
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191-6600
- Phone
- (702) 653-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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