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Individual

MRS. STACY LYNN NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2501 N GREEN VALLEY PKWY STE 116, HENDERSON, NV 89014-2158
(702) 938-5096
Mailing address
2501 N. GREEN VALLEY PARKWAY, BLDG D SUITE 116-118, HENDERSON, NV 89014
(702) 605-2766
(702) 938-9056

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CI620
NV

Other

Enumeration date
01/25/2017
Last updated
01/25/2019
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