Individual
EVERETT D WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5430 E OLYMPIC BLVD, COMMERCE, CA 90022-5113
(323) 728-9966
(323) 887-1082
Mailing address
5430 E OLYMPIC BLVD, COMMERCE, CA 90022-5113
(323) 728-9966
(323) 887-1082
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
04/20/2022
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