Individual
SAVOEUN PHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST STE A214, STOCKTON, CA 95202
(209) 468-8842
Mailing address
2930 GEER ROAD, 124, TURLOCK, CA 95382-1142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
10/12/2018
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