Search › Georgia › 1041C0700X
Kendra Phoumivong, LMSW
NPI 1336596931 · on the registry since 2016
Practice
- Address
- 690 Courtenay Dr Ne
Atlanta, GA 30306 - Phone
- (404) 875-4551
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- AR, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-31
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 Georgia