Individual
MRS. POLLY R KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6900 PECOS RD, N LAS VEGAS, NV 89086-4400
(702) 526-0400
Mailing address
6900 PECOS RD, N LAS VEGAS, NV 89086-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6509-S
NV
1041C0700X
Clinical Social Worker
Primary
149018297
IL
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/16/2010
Last updated
04/18/2016
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