Individual
AGNES WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1801 BUSH ST, SUITE 222, SAN FRANCISCO, CA 94109-5239
(415) 221-2887
Mailing address
PO BOX 590856, SAN FRANCISCO, CA 94159-0856
(415) 221-2887
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC43580
CA
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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