Individual
MS. ANN LYNN CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1600 CALIFORNIA DRIVE, VACAVILLE, CA 95696-2000
(707) 448-6841
Mailing address
PO BOX 2000, VACAVILLE, CA 95696-2000
(707) 448-6841
(707) 448-6054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 13809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13809
LICENSED CLINICAL SOCIAL WORKER
CA
Enumeration date
05/07/2013
Last updated
05/07/2013
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