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1174996201
MAIMOUNA ROSE CANTRALL
LAS VEGAS, NV
NPI
1174996201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-11
Last Update Date
2024-04-24
Business Address
MAIMOUNA ROSE CANTRALL CPC-I
1600 E DESERT INN RD STE 104
LAS VEGAS, NV 89169-2505
Phone number: 702-208-2194
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Mailing Address
MAIMOUNA ROSE CANTRALL CPC-I
767 CANYON CREST DR
LAS VEGAS, NV 89123-0533
Phone number: 702-589-0701
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