Khamphady Keovongsa, LICSW
NPI #1194125625 in Arlington, Massachusetts
Provider Information
- NPI Number
- 1194125625
- Entity Type
- Individual
- Name
- Khamphady Keovongsa, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 3, 2014
- Last Updated
- Sep 21, 2023
Practice Location
- Address
- 30 STANDISH RD
- City
- Arlington
- State
- Massachusetts
- ZIP Code
- 02476-7069
- Phone
- (781) 999-4975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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