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Individual

LAURA DEBENHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QMHA

Contact information

Practice address
5715 W ALEXANDER RD, SUITE 155, LAS VEGAS, NV 89130-2800
(702) 586-8693
(702) 476-2690
Mailing address
11009 SALFORD DR, LAS VEGAS, NV 89144-4500
(702) 463-1214

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0004135109
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004135109
STATE
NV
Enumeration date
02/13/2012
Last updated
02/13/2012
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