Individual
AVA PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 JILL AVE, PAHRUMP, NV 89060-3609
(315) 427-5604
Mailing address
1931 JILL AVE, PAHRUMP, NV 89060-3609
(315) 427-5604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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