Individual
AMI JANE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1038 POST ST, SAN FRANCISCO, CA 94109-5603
(415) 775-2636
Mailing address
4220 FULTON ST, SAN FRANCISCO, CA 94121-3815
(415) 994-5871
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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