SOUKTHANOME THAMMAVONG

COLUMBIA HEIGHTS, MN
NPI1164986246
Other NameNOME THAMMAVONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2019-01-23
Last Update Date2019-04-25
Business Address
SOUKTHANOME THAMMAVONG LICSW
4111 CENTRAL AVE NE STE 201
COLUMBIA HEIGHTS, MN 55421-2960
Phone number: 763-283-7194
Mailing Address
SOUKTHANOME THAMMAVONG LICSW
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404-3074
Phone number: 612-249-0941
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