Individual
ANNETTE GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10554 CORTE SIERRA ST, LAS VEGAS, NV 89183-4655
(702) 439-9801
Mailing address
10554 CORTE SIERRA ST, LAS VEGAS, NV 89183-4655
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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