LAURA PHALIVUTH

STOCKTON, CA
NPI1942915921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-01-13
Last Update Date2023-01-13
Business Address
LAURA PHALIVUTH
306 E MAIN ST STE 307
STOCKTON, CA 95202-2908
Phone number: 209-478-4554
Mailing Address
LAURA PHALIVUTH
306 E MAIN ST STE 307
STOCKTON, CA 95202-2908
Phone number: 209-478-4554
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