Individual
THOY BOUAKONGXAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 N 60TH ST, MILWAUKEE, WI 53208-2153
(414) 526-0982
Mailing address
1505 N 60TH ST, MILWAUKEE, WI 53208-2153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
129726-121
WI
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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