Phouangmaly Phimvongsa, L.P.C
NPI #1821156498 in Windsor Locks, Connecticut
Provider Information
- NPI Number
- 1821156498
- Entity Type
- Individual
- Name
- Phouangmaly Phimvongsa, L.P.C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- L.P.C
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Dec 19, 2019
Practice Location
- Address
- 82 MAIN ST
- City
- Windsor Locks
- State
- Connecticut
- ZIP Code
- 06096-2325
- Phone
- (860) 254-5127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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