Individual
SHANNON O'GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, PHD
Contact information
Practice address
9414 W LAKE MEAD BLVD, SUITE 212, LAS VEGAS, NV 89134-8312
(505) 660-8981
Mailing address
9414 W LAKE MEAD BLVD, SUITE 212, LAS VEGAS, NV 89134-8312
(505) 660-8981
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MIO630
NV
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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