Individual
MRS. DEIDRE CHARGUALAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MFCT
Contact information
Practice address
3065 E PATRICK LN STE 2, LAS VEGAS, NV 89120-3479
(702) 677-1267
Mailing address
7600 S JONES BLVD, APT. 2038, LAS VEGAS, NV 89139-0551
(702) 379-1682
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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