Thu My Phan, LCSW Valid NPI
Individual provider · Clinical Social Worker · Indio, CA
- NPI
- 1235750498
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 88715 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-04-29
- Last updated
- 2020-07-21
Practice location
47825 Oasis St
Indio, CA 92201-6950
(760) 863-8145