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1619093135
IVY KIT FONG MOK
BURLINGAME, CA
NPI
1619093135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS9304)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Ms. IVY KIT FONG MOK LCSW
1404 GROVE AVE
BURLINGAME, CA 94010-3317
Phone number: 650-333-5439
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Mailing Address
Ms. IVY KIT FONG MOK LCSW
1404 GROVE AVE
BURLINGAME, CA 94010-3317
Phone number: 650-333-5439
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