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NPI Code Detail

MEDICARE: MRS. STEPHANIE AUCLAIR

MEDICARE: MRS. STEPHANIE AUCLAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMI0694NV

General Provider Information

NPI Number : 1447611793
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE AUCLAIR
Provider Business Mailing Address
First Line : 6305 PALMONA ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-3814
Country : US
Telephone Number : 702-349-7565
Fax Number :
Provider Business Practice Location Address
First Line : 5426 VEGAS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-2403
Country : US
Telephone Number : 702-806-5268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2016
Last Update Date : 03/15/2016

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Directions to “ MRS. STEPHANIE AUCLAIR ” Practice Location

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