Individual
TORIA WYSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1848 GENTLE DAWN AVE, NORTH LAS VEGAS, NV 89084-2058
(702) 578-5982
Mailing address
1848 GENTLE DAWN AVE, N LAS VEGAS, NV 89084-2058
(702) 578-5982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/08/2024
Last updated
07/24/2024
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