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Individual

MR. CLIFF CHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2703 SOL WILSON AVE, AUSTIN, TX 78702-2556
(512) 815-6478
Mailing address
2003 MILLAY DR, AUSTIN, TX 78752-2131
(512) 815-6478

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54557
TX

Other

Enumeration date
07/09/2021
Last updated
07/09/2021
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