Individual
ANTHONY MICHAEL TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4425 S JONES BLVD, SUITE D3, LAS VEGAS, NV 89103-3370
(702) 991-3150
Mailing address
7718 PISTA WAY, LAS VEGAS, NV 89179-1823
(702) 677-0692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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