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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS SIDAPHONE ANNA PHOVIXAY, ASW61745

Active Sole Proprietor

MISS SIDAPHONE ANNA PHOVIXAY, ASW61745 is a Social Worker healthcare provider located in STOCKTON, California. NPI 1083747562 is currently active in the NPPES registry. Verify at CMS.

Social Worker · STOCKTON, CA

Registration Details

NPI Number
1083747562
Provider Type
Individual
Gender
Female
NPI Issued
Mar 13, 2007 (19.239714782775 yrs)
Last Updated
Mar 3, 2015
License
ASW61745 (CA)
Sole Proprietor
Yes

Practice Information

Address
2495 W MARCH LN
STOCKTON, CA, 952078251
Browse CA providers · Browse ZIP 95207
Phone
2094651080
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in STOCKTON, CA

Name Credential NPI
MRS. LUCIA NELSON 1417072000
MS. SUSAN MARIE GRUBER MSW 1811014780
MRS. REINA MARY HUDSON LCSW 1164540746
MISS MONICA NOU 1487772745
MR. DARRELL BRENT JOHNSON SR. MSW 1578681334
MS. ADRIANA M. CRUZ ASW 1871612697
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.