Individual
CHRISTY G BONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 FORT ROOTS DR, BLDG 170, 122.NLR.SWS.CBONGE, NORTH LITTLE ROCK, AR 72114
(501) 257-2498
Mailing address
2200 FORT ROOTS DR, BLDG 170, 122.NLR.SWS.CBONGE, NORTH LITTLE ROCK, AR 72114
(501) 257-2498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1174-C
AR
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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