SOUTHIDA XAYACHACK

BROWN DEER, WI
NPI1487107215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WI  130138)
Enumeration Date2016-07-28
Last Update Date2016-07-28
Business Address
SOUTHIDA XAYACHACK
3900 W BROWN DEER RD SUITE 200
BROWN DEER, WI 53209-1220
Phone number: 414-540-2170
Mailing Address
SOUTHIDA XAYACHACK
3900 W BROWN DEER RD SUITE 200
BROWN DEER, WI 53209-1220
Phone number: 414-540-2170
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