Individual
ANDREA TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW.,LCSW
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
88859
CA
Other
Enumeration date
11/07/2013
Last updated
12/30/2021
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