KHRAYTHONG SOUPHOLPHAKDY

SANTA ROSA, CA
NPI1891902342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2007-05-16
Last Update Date2014-08-25
Business Address
KHRAYTHONG SOUPHOLPHAKDY
1221 FARMERS LN SUITE B
SANTA ROSA, CA 95405-6712
Phone number: 707-565-6953
Mailing Address
KHRAYTHONG SOUPHOLPHAKDY
1221 FARMERS LN
SANTA ROSA, CA 95405-6712
Phone number: 707-565-6953
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