Individual
MRS. AMY JOHNSON CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LICSW
Contact information
Practice address
201 SHELL PT E, MAITLAND, FL 32751-5843
(407) 443-5005
Mailing address
201 SHELL PT E, MAITLAND, FL 32751-5843
(407) 443-5005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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