Individual
ELIZABETH WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT STREET, SAN FRANCISCO, CA 94121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCS9300
CA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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