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1336247063
THAO PHUONG PHAM
ELMHURST, NY
NPI
1336247063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 059121)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. THAO PHUONG PHAM LMSW
79-01 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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Mailing Address
Mr. THAO PHUONG PHAM LMSW
79-01 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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