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1306284260
ELYSE LANZNER GONG
BERKELEY, CA
NPI
1306284260
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Former Name
ELYSE CARISSA LANZNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 77277)
Enumeration Date
2013-06-12
Last Update Date
2021-12-20
Business Address
Mrs. ELYSE LANZNER GONG LCSW
956 ARLINGTON AVE
BERKELEY, CA 94707-1929
Phone number: 510-200-8426
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Mailing Address
Mrs. ELYSE LANZNER GONG LCSW
PO BOX 8445
BERKELEY, CA 94707-8445
Phone number: 510-200-8426
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