Individual
MICHELLE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
492 E 13TH AVE STE 106, EUGENE, OR 97401-4250
(808) 500-6352
Mailing address
PO BOX 5367, EUGENE, OR 97405-0367
(808) 500-6352
(808) 470-5372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11788
OR
Other
Enumeration date
04/12/2016
Last updated
08/03/2024
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