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1730490814
MARY E BOHANAN
LAS VEGAS, NV
NPI
1730490814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 569)
Enumeration Date
2010-06-23
Last Update Date
2010-06-23
Business Address
Ms. MARY E BOHANAN BA, LADC
900 E KAREN AVE
LAS VEGAS, NV 89109-1264
Phone number: 702-306-3093
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Mailing Address
Ms. MARY E BOHANAN BA, LADC
PO BOX 43635
LAS VEGAS, NV 89116-1635
Phone number: 702-306-3093
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