Individual
CHI THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 MCHENRY AVE, MODESTO, CA 95350-5370
(209) 527-4597
Mailing address
1001 NEEDHAM ST., MODESTO, CA 95354-5370
(209) 569-0373
(209) 529-8519
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
06/26/2017
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