Individual
MARY IRENE WAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
7004 GOLDEN DESERT AVE, LAS VEGAS, NV 89129-7114
(702) 374-9478
Mailing address
7004 GOLDEN DESERT AVE, LAS VEGAS, NV 89129-7114
(702) 374-9478
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01399
NV
Other
Enumeration date
08/04/2011
Last updated
07/21/2022
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