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Individual

MRS. DAWN C WISBEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7040 LAREDO ST STE K, LAS VEGAS, NV 89117-3044
(702) 331-4874
Mailing address
2922 SOFT HORIZON WAY, LAS VEGAS, NV 89135-1738
(508) 335-0353

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C15312
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C15312
STATE CPC INTERN LICENSE
NV
Enumeration date
07/24/2023
Last updated
08/17/2023
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