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Search › Nevada › 103TR0400X

Ellen Stark, LSW

NPI 1801169420 · on the registry since 2012 · sole proprietor

Practice

Address
4955 S Durango Dr Ste 207
Las Vegas, NV 89113
Phone
(702) 650-6508
Fax
(702) 893-9655
Organisation at this address
Vencer Health
Independent Life
Living Light Llc
Independent Life
Independent Life
Inferred from a shared address, not stated in the registry.
Clinicians at this address
177

Registry record

Primary taxonomy
103TR0400X
103TR0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada