Individual
VANESSA LOUDERMILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
Mailing address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11771-M
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/07/2017
Last updated
11/01/2024
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