SOUKTHANOME THAMMAVONG, LICSW

LICSW

Clinical Social Worker

NPI: 1164986246IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2008

Request Appointment

Contact & Hours

Via practice · 2 locations total

Address: 4111 CENTRAL AVE NE STE 201
COLUMBIA HEIGHTS, MN 55421
Phone: (763) 283-7194

Locations (2)

Practice Location

4111 CENTRAL AVE NE STE 201, COLUMBIA HEIGHTS, MN

Practice Location

2001 Bloomington Ave, Minneapolis, MN

Quick Facts

NPI: 1164986246
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 18

Are you this provider?

Claim Your Profile