Individual
ALEXANDER PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9716 E L J TOWNLINE RD, WHITEWATER, WI 53190-3451
(608) 359-2920
Mailing address
9716 E L J TOWNLINE RD, WHITEWATER, WI 53190-3451
(608) 359-2920
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
A114906
WI
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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