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Individual
STEPHANIE K KONG
Active
Individual
STEPHANIE K KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25125
CA
103T00000X
Psychologist
PSY761
HI
Other
Enumeration date
10/24/2006
Last updated
02/11/2022
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