Individual
MS. STEPHANIE F GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 WHISPERING SPRING AVE, LAS VEGAS, NV 89131-3657
(702) 417-5172
Mailing address
4901 WHISPERING SPRING AVE, LAS VEGAS, NV 89131-3657
(702) 417-5172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-3558217
—
NV
Enumeration date
02/01/2012
Last updated
02/01/2012
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