Individual
NEPHAPHONE KATHY INTHAVONGXAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6724 KISTLER LN APT 507, THE COLONY, TX 75056-4918
(469) 389-0584
Mailing address
6724 KISTLER LN APT 507, THE COLONY, TX 75056-4918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64099
TX
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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