Individual
STACY S DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1440 S TENAYA WAY, LAS VEGAS, NV 89117-1528
(702) 340-8008
Mailing address
PO BOX 82130, LAS VEGAS, NV 89180-2130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2435-C
NV
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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