Individual
CODY LYNN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 SMOKE RANCH RD, LAS VEGAS, NV 89108-3536
(702) 638-0395
Mailing address
8440 WESTCLIFF DR APT 1065, LAS VEGAS, NV 89145-3911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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