Individual
MS. MARCIA LOUISE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.S.
Contact information
Practice address
52845 SWANSON DR, SOUTH BEND, IN 46635-1274
(574) 272-4880
Mailing address
52845 SWANSON DR, SOUTH BEND, IN 46635-1274
(574) 272-4880
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
755262
IN
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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