Individual
MARY ANN RECORDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7621 WINGSPREAD ST, NORTH LAS VEGAS, NV 89084-3761
(816) 914-2752
Mailing address
7621 WINGSPREAD ST, NORTH LAS VEGAS, NV 89084-3761
(816) 914-2752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
107007
MO
235Z00000X
Speech-Language Pathologist
Primary
SP-1457
NV
Other
Enumeration date
06/15/2012
Last updated
11/12/2012
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