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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477979854
- **Authorized official:** STEPHANY WRIGHT (OWNER)
- **Authorized official phone:** (702) 624-6618

## Contact information

- **Practice address:** 2009 SUMMER LILY AVE, NORTH LAS VEGAS, NV 89081-2686
- **Practice address phone:** (702) 624-6618
- **Mailing address:** 2009 SUMMER LILY AVE, NORTH LAS VEGAS, NV 89081-2686
- **Mailing address phone:** (702) 624-6618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/10/2014