Individual
ELIZABETH FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2239 CARTER AVE, SAINT PAUL, MN 55108-1638
(507) 301-6457
Mailing address
803 DOUGLAS AVE APT 6, MINNEAPOLIS, MN 55403-3116
(651) 366-1811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33846
MN
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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