Individual
STACEY JANE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-INTERN
Contact information
Practice address
6655 W SAHARA AVE STE B200, LAS VEGAS, NV 89146-2832
(702) 629-6982
Mailing address
2601 S PAVILION CENTER DR UNIT 2079, LAS VEGAS, NV 89135-1849
(702) 250-7636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MI0840
NV
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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