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MARY ANN DEFEVER LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1962561720

Individual Registrant:
 MARY ANN DEFEVER LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3650 S POINTE CIR SUITE 208 LAUGHLIN, NV 89029-0424 US
Tel: 702-298-5313  Fax: 702-298-0188

Contact information for business:
4126 TECHNOLOGY WAY SUITE 102 CARSON CITY, NV 89706-2009 US
Tel: 775-687-7573  Fax: 775-687-7544

Registration Information:
NPI: 1962561720
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NV4917-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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