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Individual

IBIRONKE MERCY ALAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1810 E SAHARA AVE, LAS VEGAS, NV 89104-3707
(702) 727-3902
Mailing address
1810 E SAHARA AVE, LAS VEGAS, NV 89104-3707
(702) 727-3902

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
NV20121010903
NV
103TP2701X
Group Psychotherapy Psychologist
Primary
NV20121010903
NV
106E00000X
Assistant Behavior Analyst
NV20121010903
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982156410
NV
Enumeration date
10/31/2016
Last updated
11/18/2016
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