Theppharack Ad Sounthala MSW

NPI 1083745780 - Counselor - 101YP2500X

NPI Details
NPI 1083745780
Gender Female
Enumeration Date 03/07/2007
Last Updated 02/17/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
251 E HACKETT RD
MODESTO CA, 95358-9415, US
Phone (209) 558-2699
Fax (209) 558-1075
Business Location
251 E HACKETT RD
MODESTO CA, 95358-9415, US
Phone (209) 558-2699
Fax (209) 558-1075
Toxanomy
Taxonomy Code 101YP2500X
License State California
License Number LCS 26225
Remove 1083745780 NPI Number
 

According to our database, Mrs. Theppharack Ad Sounthala MSW NPI is 1083745780, taxonomy code is 101YP2500X and license number is LCS 26225, license state is located at California. Theppharack Ad Sounthala MSW physically located at 251 E Hackett Rd, Modesto CA, 95358-9415. NPI Number Theppharack Ad Sounthala MSW has the Individual type.

Sponsored links

1083745780 NPI number is provided on an as is basis without warranty of any kind. 1083745780 is maintained by the National Plan & Provider Enumeration System. The contents of Theppharack Ad Sounthala MSW are for informational purposes only.