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1588034037
JACKIE WONG
SAN MATEO, CA
NPI
1588034037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 20579)
Enumeration Date
2015-09-27
Last Update Date
2015-09-27
Business Address
Ms. JACKIE WONG LCSW
4108 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403-5053
Phone number: 415-215-8019
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Mailing Address
Ms. JACKIE WONG LCSW
4108 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403-5053
Phone number: 415-215-8019
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