Most Relevant Information
Provider Data
| NPI Number: | 1003335142 |
| Provider Name: | KAYCI ITZA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6920-S |
Most Important Dates
| Enumeration Date: | 09/10/2017 |
| Last Updated: | 09/10/2017 |
Provider Practice Location
850 MILL ST STE 100
RENO
NV
895021463
Practice Location Phone/Fax
| Phone: | 7753740335 |
| Fax: |
Provider Mailing Location
1050 CONNOLLY DR APT 201
ELKO
NV
898017949
Provider Mailing Phone/Fax
| Phone: | 7753740335 |
| Fax: |