Individual
JENNIFER LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5737 BAFFY CIR, LAS VEGAS, NV 89142-2686
(307) 690-0299
Mailing address
5737 BAFFY CIR, LAS VEGAS, NV 89142-2686
(307) 690-0299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1403890855
NV
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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