Individual
CHANNA VIENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
(978) 452-6625
Mailing address
327 WALKER ST, LOWELL, MA 01851-1728
(978) 319-1288
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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