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1750922647
TRACY ELISSA LEW WONG
SACRAMENTO, CA
NPI
1750922647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 74636)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
Ms. TRACY ELISSA LEW WONG LCSW
2308 J ST STE D
SACRAMENTO, CA 95816-4718
Phone number: 916-402-7257
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Mailing Address
Ms. TRACY ELISSA LEW WONG LCSW
9630 BRUCEVILLE RD STE 106
ELK GROVE, CA 95757-5512
Phone number: 916-402-7257
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