Provider Demographics
NPI:1730734732
Name:ALLEN, APOLLONIA SADE (MSW)
Entity type:Individual
Prefix:
First Name:APOLLONIA
Middle Name:SADE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8610 S MARYLAND PKWY APT 1067
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2725
Mailing Address - Country:US
Mailing Address - Phone:318-347-5065
Mailing Address - Fax:
Practice Address - Street 1:8610 S MARYLAND PKWY APT 1067
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2725
Practice Address - Country:US
Practice Address - Phone:318-347-5065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker