MR. Raja Sekhar Prabhala, BA

NPI #1205263464 in Ammon, Idaho

Provider Information

NPI Number: 1205263464
Entity Type: Individual
Name: MR. Raja Sekhar Prabhala, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: BA
Enumeration Date: Oct 2, 2013
Last Updated: Oct 2, 2013

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6601
Phone: (408) 569-9735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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