Individual
MRS. MAIYOUA KHANG THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
206 S MEMORIAL DR, APPLETON, WI 54911-5839
(920) 428-6484
(920) 734-1703
Mailing address
206 S MEMORIAL DR, APPLETON, WI 54911-5839
(920) 428-6484
(920) 734-1703
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
643-226
WI
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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