Individual
MALLORIE MICHELLE MONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4904 CANADIAN DR, LAS VEGAS, NV 89130-2218
(702) 526-9908
Mailing address
4904 CANADIAN DR, LAS VEGAS, NV 89130-2218
(702) 526-9908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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