Individual
STACEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4000 E CHARLESTON BLVD STE 230, LAS VEGAS, NV 89104-6682
(702) 968-5069
(702) 968-5050
Mailing address
4000 E CHARLESTON BLVD STE 230, LAS VEGAS, NV 89104-6682
(702) 968-5069
(702) 968-5050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4743S
NV
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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