ELIZABETH REID FONG

MANHATTAN BEACH, CA
NPI1104202381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  LCS22048)
Enumeration Date2015-08-10
Last Update Date2015-08-10
Business Address
-- ELIZABETH REID FONG LCSW
713 29TH ST
MANHATTAN BEACH, CA 90266-2305
Phone number: 310-545-5762
Mailing Address
-- ELIZABETH REID FONG LCSW
713 29TH ST
MANHATTAN BEACH, CA 90266-2305
Phone number: 310-545-5762
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