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1194574954
SANNHA THAMMAVONGSA
REDDING, CA
NPI
1194574954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
SANNHA THAMMAVONGSA
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7213
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Mailing Address
SANNHA THAMMAVONGSA
949 DATE ST
ORLAND, CA 95963-2125
Phone number: 916-883-9777
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