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Individual

DR. LEE P. WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
12607 23RD AVE SE, EVERETT, WA 98208-6691
(415) 577-2562
Mailing address
12607 23RD AVE SE, EVERETT, WA 98208-6691
(415) 577-2562

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19830
CA
103T00000X
Psychologist
PY60537543
WA

Other

Enumeration date
12/22/2009
Last updated
08/08/2024
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