Individual
MICHAEL G. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9062
(877) 874-1008
Mailing address
7824 NORMANDY DR., FORT RILEY, KS 66442
(785) 240-6844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C015535
NC
Other
Enumeration date
07/01/2020
Last updated
07/03/2025
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