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Individual

DESHANA ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2620 S MARYLAND PKWY # 14-429, LAS VEGAS, NV 89109
(702) 591-9336
(702) 946-9472
Mailing address
2620 S MARYLAND PKWY # 14-429, LAS VEGAS, NV 89109-8300
(702) 591-9336
(702) 946-9472

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
225400000X
Rehabilitation Practitioner

Other

Enumeration date
09/17/2013
Last updated
08/03/2018
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