Individual
MS. MARILYN A GORA FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12 SARAH ST, PROVIDENCE, RI 02906-2821
(508) 235-7337
Mailing address
12 SARAH ST, PROVIDENCE, RI 02906-2821
(401) 258-8312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MA
Other
Enumeration date
01/11/2007
Last updated
01/02/2025
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