KATHY M KHOMMANYVONG

FORT DODGE, IA
NPI1033250402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  03941)
Enumeration Date2007-02-09
Last Update Date2009-02-09
Business Address
-- KATHY M KHOMMANYVONG LMSW
720 KENYON RD NORTH CENTRAL IOWA MHC DBA BERRYHILL CENTER FOR MENTAL
FORT DODGE, IA 50501-0000
Phone number: 515-955-7171
Mailing Address
-- KATHY M KHOMMANYVONG LMSW
720 KENYON RD NORTH CENTRAL IOWA MHC DBA BERRYHILL CENTER FOR MENTAL
FORT DODGE, IA 50501-0000
Phone number: 515-955-7171
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