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Individual
CHIN LUNG FONG
Active
Individual
CHIN LUNG FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW90172
CA
1041C0700X
Clinical Social Worker
Primary
107049
CA
Other
Enumeration date
08/14/2019
Last updated
06/25/2024
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