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1104170976
MICHELLE KIM PHAM
GILROY, CA
NPI
1104170976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW86548)
Enumeration Date
2012-11-01
Last Update Date
2021-12-03
Business Address
MICHELLE KIM PHAM
290 IOOF AVE
GILROY, CA 95020-5204
Phone number: 408-846-2100
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Mailing Address
MICHELLE KIM PHAM
290 IOOF AVE
GILROY, CA 95020-5204
Phone number: 408-846-2100
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