KHAMTORM SOYVIRA

STOCKTON, CA
NPI1902927197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  ASW 10209)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
-- KHAMTORM SOYVIRA MSW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7523
Mailing Address
-- KHAMTORM SOYVIRA MSW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7524
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