Individual
MISS SEANIE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
3742 TRANQUIL CANYON CT, LAS VEGAS, NV 89147-8061
(702) 249-6619
Mailing address
3742 TRANQUIL CANYON CT, LAS VEGAS, NV 89147-8061
(702) 249-6619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3298
NV
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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