Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PUKAN PHAOUDOM
ActivePUKAN PHAOUDOM is a Clinical Social Worker healthcare provider located in FRESNO, California. NPI 1790844512 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FRESNO, CA
Registration Details
- NPI Number
- 1790844512
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2006 (19.666041511348 yrs)
- Last Updated
- Sep 17, 2024
- License
-
LCSW25857 (CA)
Practice Information
- Address
-
4447 E. CESAR CHAVEZ BLVDFRESNO, CA, 937023604Browse CA providers · Browse ZIP 93702
- Phone
- 5596004693
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| MARY MARGARET POST | LCSW | 1083695969 |
| MR. LAVERNE EVANS | ACSW | 1912967456 |
| MRS. VERONIQUE VENANCE BELFLOWER | LCSW | 1336100411 |
| MRS. MARIAN BETH ORVIS | MSW | 1548222144 |
| MRS. JOAN ANN ALLEN | LCSW | 1063470409 |
| MR. BUDDY WALKER | LCSW | 1164473815 |
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.