Individual
MR. STEPHANIE LAVON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 NIBLICK DR, LAS VEGAS, NV 89108-1113
(702) 637-5137
Mailing address
916 NIBLICK DR, LAS VEGAS, NV 89108-1113
(702) 637-5137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
193200000X
NV
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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