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1699250969
NISHTHAYA SOUKHANOUVONG
CHARLOTTE, NC
NPI
1699250969
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Professional Name
EMILY SOUKHANOUVONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NC 5747)
Enumeration Date
2018-10-02
Last Update Date
2023-12-04
Business Address
Dr. NISHTHAYA SOUKHANOUVONG Psy.D
3743 LATROBE DR
CHARLOTTE, NC 28211-1164
Phone number: 704-826-2709
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Mailing Address
Dr. NISHTHAYA SOUKHANOUVONG Psy.D
3743 LATROBE DR
CHARLOTTE, NC 28211-1164
Phone number: 704-826-2709
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