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Individual

DANITA STAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PROFESSIONAL

Contact information

Practice address
2337 PICKWICK DR, HENDERSON, NV 89014-3753
(702) 359-0807
Mailing address
352 SOOTHING MEADOWS DR NE, RIO RANCHO, NM 87144-4106
(505) 358-2838

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/09/2016
Last updated
03/28/2022
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