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Individual

CORPIA DEVONNE FOXWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
600 N 1ST ST, LAS VEGAS, NV 89101-1904
(702) 463-0110
Mailing address
6551 MCCARRAN ST, APT 2098, NORTH LAS VEGAS, NV 89086-1435
(702) 747-0450

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/11/2013
Last updated
06/11/2013
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