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

MOUKDAVANH SIACKASORN

Active

MOUKDAVANH SIACKASORN is a Clinical Social Worker healthcare provider located in PITTSBURG, California. NPI 1477098333 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PITTSBURG, CA

Registration Details

NPI Number
1477098333
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2017 (9.4296697471059 yrs)
Last Updated
Mar 3, 2020
License
94227 (CA)

Practice Information

Address
2311 LOVERIDGE RD
PITTSBURG, CA, 945655117
Browse CA providers · Browse ZIP 94565
Phone
9254312654
Fax
9254312644
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PITTSBURG, CA

Name Credential NPI
MS. JUANITA MARIE SARAGOZA 1386794261
MRS. KERRY EILEEN ARMSTRONG 1699826545
MISS ANITA IRENE JACKSON 1366637993
DEMETRA ANNE THOMAS LCSW 1922245331
JUDITH SARA ROSENBLATT 1700188943
RENEE S HAWLEY 1679841944
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.