Individual
NICOLE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 PALM BEACH LAKES BLVD STE 600, WEST PALM BEACH, FL 33401-2208
(561) 881-2822
Mailing address
520 N SEMORAN BLVD STE 280, ORLANDO, FL 32807-3337
(407) 306-9766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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