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Organization
S & T LLC.
Active
Organization
S & T LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DAVID TERRELL (CEO)
(312) 898-4422
Entity
Organization
Contact information
Practice address
3053 W CRAIG RD, N LAS VEGAS, NV 89032-5124
(312) 898-4422
Mailing address
3053 W CRAIG RD, N LAS VEGAS, NV 89032-5124
(312) 898-4422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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