LAURY THAMMAVONG

SAN FRANCISCO, CA
NPI1114335072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1-T1407081924)
Enumeration Date2014-07-23
Last Update Date2014-07-23
Business Address
-- LAURY THAMMAVONG
1735 MISSION ST
SAN FRANCISCO, CA 94103-2417
Phone number: 415-226-1775
Mailing Address
-- LAURY THAMMAVONG
1735 MISSION ST
SAN FRANCISCO, CA 94103-2417
Phone number: 415-226-1775
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