Individual
RONG GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 11TH ST NW, WASHINGTON, DC 20001-3923
(202) 576-6236
Mailing address
2501 11TH ST NW, WASHINGTON, DC 20001-3923
(202) 576-6236
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
489
TN
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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