Provider Information for 1992233076
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IMAN JANELLE CAYARD LCSW
Sex: Female
NPI: 1992233076
Last Updated: 2024-12-04
Certification Date: 2024-12-04
Certification Date: 2024-12-04
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992233076 | ||||||||
| Enumeration Date | 2017-06-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8465 W SAHARA AVE # 111275 LAS VEGAS, NV 89117-8960 United States Phone: 725-696-1130 | Fax: | ||||||||
| Primary Practice Address | 2620 REGATTA DR STE 102 LAS VEGAS, NV 89128-6892 United States Phone: 725-696-1130 | Fax:725-696-1130 | ||||||||
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