Mai Khou Yang, MSW, LICSW
NPI #1174285183 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1174285183
- Entity Type
- Individual
- Name
- Mai Khou Yang, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Oct 6, 2021
- Last Updated
- Oct 20, 2021
Practice Location
- Address
- 708 W BROADWAY AVE STE A
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-3787
- Phone
- (651) 408-5154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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