Individual
CHERUBIMARIS CASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 3RD AVE, SOUTH SIOUX CITY, NE 68776-2216
(636) 812-8292
Mailing address
1414 3RD AVE, SOUTH SIOUX CITY, NE 68776-2216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2025042361
MO
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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