Individual
PATRICIA L WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 DICKINSON RD, CHESTERTON, IN 46304-3551
(888) 852-7400
Mailing address
3251 SAGER RD, VALPARAISO, IN 46383-0738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001908A
IN
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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