Sidaphone Phovixay, ASW61745

NPI 1083747562 · on the registry since 2007 · sole proprietor

Practice

Address: 2495 W March Ln
Stockton, CA 95207
Phone: (209) 465-1080
Organisation at this address: Victor Community Support Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 276

Registry record

Primary taxonomy: Social Worker
104100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California