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1871879478
ELLEN I WONG
LOS ANGELES, CA
NPI
1871879478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS24799)
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
-- ELLEN I WONG LCSW
450 BAUCHET ST
LOS ANGELES, CA 90012-2907
Phone number: 231-473-1742
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Mailing Address
-- ELLEN I WONG LCSW
450 BAUCHET ST
LOS ANGELES, CA 90012-2907
Phone number: 231-473-1742
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