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Individual
MAIMOUNA ROSE CANTRALL
Active
Individual
MAIMOUNA ROSE CANTRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
104100000X
Social Worker
Primary
5885-S
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5885-S
—
NV
Enumeration date
11/11/2015
Last updated
03/23/2026
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