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Individual
KAMRYAN MONG
Active
Individual
KAMRYAN MONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2308010
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280214795
—
AR
Enumeration date
03/21/2022
Last updated
01/23/2024
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