SOUPHAPHONE HAGAN

FRESNO, CA
NPI1205466570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  107193)
Enumeration Date2020-01-24
Last Update Date2023-09-11
Business Address
SOUPHAPHONE HAGAN
496 S BARTON AVE
FRESNO, CA 93702-2985
Phone number: 559-860-4422
Mailing Address
SOUPHAPHONE HAGAN
516 VILLA AVE STE 2
CLOVIS, CA 93612-0899
Phone number: 559-283-3818
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