Individual
DR. CYNTHIA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
144 LILY DR, MAUMELLE, AR 72113-5826
(501) 803-0166
Mailing address
144 LILY DR, MAUMELLE, AR 72113-5826
(501) 803-0166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0308033
AR
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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