Individual
PATRICE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WASHINGTON ST STE 106, BRAINTREE, MA 02184-4764
(781) 817-6386
Mailing address
237 LAKE ST UNIT C, WEYMOUTH, MA 02189-1253
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
3475897
MA
Other
Enumeration date
08/25/2017
Last updated
03/17/2018
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