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PUKAN PHAOUDOM
Clinical Social Worker
NPI: 1790844512Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
LCSW25857(CA)
Contact & Hours
Via practice · 2 locations total
- Address
- 4447 E. CESAR CHAVEZ BLVD
FRESNO, CA 93702 - Phone
- (559) 600-4693
Quick Facts
- NPI
- 1790844512
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 2
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