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Individual

SHOUA VANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BACHELOR OF SCIENCE

Contact information

Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-5839
Mailing address
1344 ROST ST., LA CROSSE, WI 54603
(608) 385-0659

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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