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NPI Code Detail

MEDICARE: MS. YOSHIE WONG MFT

MEDICARE:  MS. YOSHIE  WONG  MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLF 00001293WA

General Provider Information

NPI Number : 1790231108
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YOSHIE WONG MFT
Provider Business Mailing Address
First Line : 673 WOODLAND SQUARE LOOP SE STE 330
Second Line :
City : LACEY
State : WA
Zip : 98503-1066
Country : US
Telephone Number : 888-364-5977
Fax Number : 360-628-5240
Provider Business Practice Location Address
First Line : 673 WOODLAND SQUARE LOOP SE STE 330
Second Line :
City : LACEY
State : WA
Zip : 98503-1066
Country : US
Telephone Number : 888-364-5977
Fax Number : 360-628-5240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2016
Last Update Date : 08/27/2016

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Directions to “ MS. YOSHIE WONG MFT” Practice Location

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