Individual
KATHIE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 1ST AVE APT 301S, CORALVILLE, IA 52241-4012
(195) 318-6173
Mailing address
2346 MORMON TREK BLVD, IOWA CITY, IA 52246-4371
(319) 519-9031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119554
IA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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