THEB MANIVANH

VISALIA, CA
NPI1649459835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  28251)
Enumeration Date2007-10-24
Last Update Date2022-07-06
Business Address
Mr. THEB MANIVANH LCSW
505 N COURT ST
VISALIA, CA 93291-4912
Phone number: 559-730-7566
Mailing Address
Mr. THEB MANIVANH LCSW
505 N COURT ST
VISALIA, CA 93291-4912
Phone number: 559-730-7566
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