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1013258474
EDDIE K WONG
PEORIA, IL
NPI
1013258474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149005689)
Enumeration Date
2013-03-11
Last Update Date
2013-03-11
Business Address
-- EDDIE K WONG MSW
600 FAYETTE ST
PEORIA, IL 61603-3610
Phone number: 309-671-8005
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Mailing Address
-- EDDIE K WONG MSW
PO BOX 1346
PEORIA, IL 61654-1346
Phone number: 309-671-8000
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