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THEB MANIVANH, LCSW
LCSW
Clinical Social Worker
NPI: 1649459835Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
28251(CA)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2000
Contact & Hours
Via practice · 2 locations total
- Address
- 925 BEVINS CT
LAKEPORT, CA 95453 - Phone
- (707) 263-8382
Quick Facts
- NPI
- 1649459835
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 26
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