Sotheang Terry Khieu

NPI #1366952889 in Plainville, Connecticut

Provider Information

NPI Number: 1366952889
Entity Type: Individual
Name: Sotheang Terry Khieu
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 10, 2017
Last Updated: Oct 10, 2017

Practice Location

Address: 74 EAST ST
City: Plainville
State: Connecticut
ZIP Code: 06062-2367
Phone: (860) 793-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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