person
Mr. Andrew Keodara Phomthavong, MSW
Professional Counselor in Lowell, Massachusetts
NPI 1003110990

Andrew Keodara Phomthavong is a Professional Counselor based in Lowell, MA and is specialized in Professional. Andrew Keodara Phomthavong practices in Lowell, MA and has the professional credentials of MSW. The NPI Number for Andrew Keodara Phomthavong is 1003110990 and holds a License No. (Massachusetts).

The current practice location address for Andrew Keodara Phomthavong is 298 Walker Street, Lowell, MA and can be reached out via phone at 619-743-9052. You can also correspond with Andrew Keodara Phomthavong through the mailing address at 298 WALKER ST, LOWELL, MA - 01851-1848 (mailing address contact number: 619-743-9052).

Location: 298 Walker Street, Lowell, MA, 01851-1848
person
Provider Profile Details
NPI Number
1003110990
Provider Name
Andrew Keodara Phomthavong
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
298 Walker Street, Lowell, MA, 01851-1848
Phone Number
619-743-9052
Fax Number
Provider Enumeration Date
01/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
298 Walker Street
City
State
Zip
01851
Phone Number
619-743-9052
Fax Number
person
Provider Business Mailing Address Details
Address
298 Walker Street
City
State
Zip
01851
Phone Number
619-743-9052
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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