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Individual

MRS. STEPHANIE A GHIDOSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1025 ROBERTA LN, SPARKS, NV 89431-1893
(775) 825-4744
(775) 351-1644
Mailing address
1025 ROBERTA LN, SPARKS, NV 89431-1893
(775) 825-4744
(775) 351-1644

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1624
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZ235Z0000X
NV
Enumeration date
09/03/2013
Last updated
09/03/2013
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