Individual
CORNELIUS HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S.W.
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2004
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00993-S
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00993-S
SOCIAL WORKER
NV
Enumeration date
10/25/2010
Last updated
10/25/2010
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