ELYSE LANZNER GONG

BERKELEY, CA
NPI1306284260
Former NameELYSE CARISSA LANZNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  77277)
Enumeration Date2013-06-12
Last Update Date2021-12-20
Business Address
Mrs. ELYSE LANZNER GONG LCSW
956 ARLINGTON AVE
BERKELEY, CA 94707-1929
Phone number: 510-200-8426
Mailing Address
Mrs. ELYSE LANZNER GONG LCSW
PO BOX 8445
BERKELEY, CA 94707-8445
Phone number: 510-200-8426