Petsamon Chanthalome, LMSW

NPI #1811356959 in Lenexa, Kansas

Provider Information

NPI Number
1811356959
Entity Type
Individual
Name
Petsamon Chanthalome, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Credential
LMSW
Enumeration Date
Feb 17, 2016
Last Updated
Feb 17, 2016

Practice Location

Address
24007 W 80TH TER
City
Lenexa
State
Kansas
ZIP Code
66227-2203
Phone
(913) 850-3069

Specialties & Taxonomy Codes

Specialty
Social Worker

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