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1992855191
ANTONIO WONG-RIVADENEYRA
VALLEJO, CA
NPI
1992855191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCS10296)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mr. ANTONIO WONG-RIVADENEYRA LCSW
1761 BROADWAY SUITE 100
VALLEJO, CA 94589-2226
Phone number: 707-645-2341
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Mailing Address
Mr. ANTONIO WONG-RIVADENEYRA LCSW
1761 BROADWAY SUITE 100
VALLEJO, CA 94589-2226
Phone number: 707-645-2341
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