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Organization

SHANNON KONG, MS, CCC

Active
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Organization

SHANNON KONG, MS, CCC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANNON KONG MS (OWNER)
(415) 469-4988
Entity
Organization

Contact information

Practice address
2528 OCEAN AVE, SAN FRANCISCO, CA 94132-1614
(415) 469-4988
(415) 469-4989
Mailing address
2528 OCEAN AVE, SAN FRANCISCO, CA 94132-1614
(415) 469-4988
(415) 469-4989

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP10617
CA

Other

Enumeration date
05/20/2011
Last updated
05/20/2011
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