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1073777009
CARMEN FONG
BERKELEY, CA
NPI
1073777009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-07-18
Last Update Date
2012-05-07
Business Address
-- CARMEN FONG
3075 ADELINE ST SUITE 120
BERKELEY, CA 94703-2576
Phone number: 510-848-1112
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Mailing Address
-- CARMEN FONG
3075 ADELINE ST SUITE 120
BERKELEY, CA 94703-2576
Phone number: 510-848-1112
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