Andrea Phouthavong

NPI #1104526409 in Circleville, Ohio

Provider Information

NPI Number: 1104526409
Entity Type: Individual
Name: Andrea Phouthavong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 6, 2023
Last Updated: Mar 6, 2023

Practice Location

Address: 319 LOGAN ST
City: Circleville
State: Ohio
ZIP Code: 43113-2213
Phone: (740) 474-8874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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