Individual
CHARLOTTE TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, ACSW, QMHP
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
(503) 363-4820
Mailing address
3325 HAROLD DR NE, PO BOX 17818, SALEM, OR 97305-1339
(503) 363-2021
(503) 363-4820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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