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1770820300
MELINDA LUCILLE RANDALL
SPARKS, NV
NPI
1770820300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 703)
Enumeration Date
2013-01-16
Last Update Date
2013-01-16
Business Address
-- MELINDA LUCILLE RANDALL LADC LSW
115 O ST
SPARKS, NV 89431-3251
Phone number: 775-787-9411
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Mailing Address
-- MELINDA LUCILLE RANDALL LADC LSW
115 O ST
SPARKS, NV 89431-3251
Phone number: 775-787-9411
Copy
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