SOVANN MOUTH

SANTA ANA, CA
NPI1801518014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IL  150.114211)
Additional Taxonomies104100000X Social Worker
Enumeration Date2022-09-14
Last Update Date2025-05-07
Business Address
SOVANN MOUTH
888 W SANTA ANA BLVD STE 150
SANTA ANA, CA 92701-4592
Phone number: 562-841-6315
Mailing Address
SOVANN MOUTH
888 W SANTA ANA BLVD STE 150
SANTA ANA, CA 92701-4592
Phone number:
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