Individual
MRS. PANH NHA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4650 W SPENCER ST STE L, APPLETON, WI 54914-9106
(415) 651-3458
Mailing address
1511 BEECH TREE DR, GREEN BAY, WI 54304-1700
(920) 264-5173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7617-125
WI
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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