Individual
MELISSA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 S CENTRAL PKWY, MOUNTAIN HOUSE, CA 95391-1353
(209) 836-7460
Mailing address
1090 S CENTRAL PKWY, MOUNTAIN HOUSE, CA 95391-1353
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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