Individual
MR. CHESTER KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
1400 S IRON ST, DEMING, NM 88030-5049
(505) 546-4863
Mailing address
1100 S MALLERY ST, DEMING, NM 88030-5515
(505) 544-2888
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
B3456
NM
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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