MR. Jim K Inthanongsak

NPI #1326474131 in Bath, New York

Provider Information

NPI Number
1326474131
Entity Type
Individual
Name
MR. Jim K Inthanongsak
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Sep 25, 2013
Last Updated
Sep 25, 2013

Practice Location

Address
76 VETERANS AVE
City
Bath
ZIP Code
14810-0810
Phone
(607) 664-4335

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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