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1548670706
THONG PHAM
LAKEWOOD, WA
NPI
1548670706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG 60319745)
Enumeration Date
2014-04-28
Last Update Date
2014-04-28
Business Address
-- THONG PHAM
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
-- THONG PHAM
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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