Tuan Phan

NPI #1336659689 in Malden, Massachusetts

Provider Information

NPI Number: 1336659689
Entity Type: Individual
Name: Tuan Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Oct 1, 2017
Last Updated: Oct 1, 2017

Practice Location

Address: 22 PLEASANT ST
City: Malden
State: Massachusetts
ZIP Code: 02148-5119
Phone: (781) 851-2648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Technician	106S00000X
Community Health Worker	172V00000X	Primary

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