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Individual

STACY T TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
5400 S RAINBOW BLVD, SPRING VALLY HOSPITAL, LAS VEGAS, NV 89118-1859
(702) 853-3000
(702) 853-8842
Mailing address
5400 S RAINBOW BLVD, SPRING VALLY HOSPITAL, LAS VEGAS, NV 89118-1859

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S5167
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S5167
NEVADA LSW LICENSE
NV
Enumeration date
10/05/2009
Last updated
10/05/2009
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