Individual
J JIONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 MALVEY AVE STE 104, FORT WORTH, TX 76107-5107
(214) 702-3566
Mailing address
5608 MALVEY AVE STE 104, FORT WORTH, TX 76107-5107
(214) 702-3566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117037
TX
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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