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1912529066
STACY ILENE BENHAM
LAS VEGAS, NV
NPI
1912529066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NV 8186-C)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
STACY ILENE BENHAM LCSW
2601 S GRAND CANYON DR APT 2003
LAS VEGAS, NV 89117-3671
Phone number: 626-684-6349
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Mailing Address
STACY ILENE BENHAM LCSW
2601 S GRAND CANYON DR APT 2003
LAS VEGAS, NV 89117-3671
Phone number: 626-684-6349
Copy
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