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1508129222
SIRIVANH KONGBOUAKHAY SHUFFER
MONTEREY PARK, CA
NPI
1508129222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 25332)
Enumeration Date
2012-06-18
Last Update Date
2012-06-18
Business Address
Mrs. SIRIVANH KONGBOUAKHAY SHUFFER L.C.S.W.
429 VAN BUREN DR
MONTEREY PARK, CA 91755-4150
Phone number: 559-970-4155
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Mailing Address
Mrs. SIRIVANH KONGBOUAKHAY SHUFFER L.C.S.W.
429 VAN BUREN DR
MONTEREY PARK, CA 91755-4150
Phone number: 559-970-4155
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