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Individual

JADE KAY-MARIE LARSON-HOUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4045 SPENCER ST STE A48, LAS VEGAS, NV 89119-5245
(702) 483-0190
Mailing address
4045 SPENCER ST STE A48, LAS VEGAS, NV 89119-5245
(702) 483-0190

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1630
NV
1041C0700X
Clinical Social Worker
Primary
10297-C
NV

Other

Enumeration date
09/14/2017
Last updated
10/05/2022
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