Individual
EDDIE K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
600 FAYETTE ST, PEORIA, IL 61603-3610
(309) 671-8005
(309) 671-8021
Mailing address
PO BOX 1346, PEORIA, IL 61654-1346
(309) 671-8000
(309) 671-4695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149005689
IL
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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