Individual
CORNELIA FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 VINCITOR ST, LAS VEGAS, NV 89135-3223
(702) 255-2916
(702) 255-2916
Mailing address
5130 VINCITOR ST, LAS VEGAS, NV 89135-3223
(702) 255-2916
(702) 255-2916
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2266-C
NV
1041C0700X
Clinical Social Worker
2266-C
NV
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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