Individual
EMILY JESSICA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2933 EL NIDO DR, ALTADENA, CA 91001-4529
(626) 395-7100
Mailing address
2933 EL NIDO DR, ALTADENA, CA 91001-4529
(626) 395-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW27100
CA
Other
Enumeration date
11/13/2009
Last updated
06/05/2013
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