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1033250402
KATHY M KHOMMANYVONG
FORT DODGE, IA
NPI
1033250402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 03941)
Enumeration Date
2007-02-09
Last Update Date
2009-02-09
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
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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
Copy
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