Individual
MARY LOUISE LASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162
Mailing address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01515
NV
Other
Enumeration date
10/19/2012
Last updated
07/16/2015
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