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Search › California › Clinical Social Worker

Pukan Phaoudom

NPI 1790844512 · on the registry since 2006

Practice

Address
1925 E Dakota Ave
Fresno, CA 93726
Phone
(559) 600-5982
Organisation at this address
Jason Stutzman
County Of Fresno
County Of Fresno
County Of Fresno
Fresno Community Hospital And Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
110

Additional practice sites

  • 2171 N Fine Ave, Fresno, CA

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Clinical Social Worker
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-20

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