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Individual
QUE PHAN VUONG
Active
Individual
QUE PHAN VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ASW75320
CA
101YM0800X
Mental Health Counselor
ASW75320
CA
1041C0700X
Clinical Social Worker
ASW75320
CA
1041C0700X
Clinical Social Worker
Primary
LCSW99848
CA
Other
Enumeration date
06/11/2013
Last updated
04/27/2021
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