Individual
VUONG C DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 NORTHPORT DR, MADISON, WI 53704-1635
(608) 886-8143
Mailing address
1001 NORTHPORT DR, MADISON, WI 53704-1635
(608) 886-8143
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3001024492
WI
103TS0200X
School Psychologist
546227
OR
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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