Individual
JASON DEREK BONGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, ASW
Contact information
Practice address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336
Mailing address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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