Southern Nevada Breastfeeding Coalition Application for Resource Listing of Lactation Providers for 2017
Southern Nevada Breastfeeding Coalition Resource Sheet Lactation Support for Clark County, Nevada

By filling out this application you understand that it is sole discretion of participating members and the board of the Southern Nevada Breastfeeding Coalition to decide the content and appropriateness of being listed on our Resource sheet. We will not be held liable for any misconduct of said practitioners. This is an information sheet that is available to anyone, and can and may be distributed at will by Physicians, Hospitals, Breastfeeding Friendly businesses and information will be available on our website. We may remove said applicants from the list at our discretion. Current proof of supporting lactation licenses/certifications are required.

If you have any questions or concerns, please contact us at snvbreastfeeding@gmail.com

Full Name
Your answer
Business Name
Your answer
Website/email/information and phone number you would like listed:
Your answer
Professional License/ Credentials
Your answer
Are License/Credentials to be listed current?
Your answer
Paid Coalition Member for 2017? (please note: must be paid SNVBC member for current year)
Your answer
Services Provided
Your answer
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