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Individual

SUGAR WOMACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3170 E SUNSET RD, LAS VEGAS, NV 89120-2745
(702) 629-6000
Mailing address
PO BOX 5932, PRINCETON, WV 24740-5932
(304) 487-0567

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1701875505
NV

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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