Individual
MARY KENNEMUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3171 S JONES BLVD, LAS VEGAS, NV 89146-6703
(702) 586-8693
Mailing address
10524 GALLEON PEAK LN, LAS VEGAS, NV 89166-5040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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