Individual
GINA WOOD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC,SLP
Contact information
Practice address
3030 S JONES BLVD STE 105, LAS VEGAS, NV 89146-6793
(702) 360-1137
(702) 240-1729
Mailing address
820 CANTERRA ST UNIT 1053, LAS VEGAS, NV 89138-4592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1383
NV
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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