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Individual

MS. CHASITY ROCQUEMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10839 SCOTCH ROSE ST, HENDERSON, NV 89052-8651
(443) 931-9919
Mailing address
10839 SCOTCH ROSE ST, HENDERSON, NV 89052-8651
(443) 931-9919

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251300000X
Local Education Agency (LEA)
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
06/05/2018
Last updated
06/05/2018
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