MARI EVONNE KONG

ROCKFORD, IL
NPI1093044455
Professional NameMARI EVONNE KONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.005213)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: WI  1605-123)
106H00000X Marriage & Family Therapist
(Licence: WI  612-124)
Enumeration Date2009-12-14
Last Update Date2009-12-14
Business Address
-- MARI EVONNE KONG lcsw
5301 E STATE ST STE 101
ROCKFORD, IL 61108-2388
Phone number: 815-397-8500
Mailing Address
-- MARI EVONNE KONG lcsw
5301 E STATE ST STE 101
ROCKFORD, IL 61108-2388
Phone number: 815-397-8500