Individual
LORIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E MULBERRY AVE, SAN ANTONIO, TX 78212-3023
(210) 735-3822
(210) 735-1908
Mailing address
300 E MULBERRY AVE, SAN ANTONIO, TX 78212-3023
(210) 735-3822
(210) 735-1908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12053
TX
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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