Edith Fong, LCSW
Social Worker, Clinical in Baldwin Park, CA. Individual provider (NPI-1).
NPI number1982802831
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1982802831
- Entity type
- Individual (NPI-1)
- Name
- Edith Fong
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2007
- Last updated
- Dec 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS18778 | CA | Yes |
Practice location
1011 Baldwin Park BlvdBaldwin Park, CA 91706-5806
Phone 626-851-1011 · Fax 626-405-6768
Mailing address
393 E Walnut St3rd Floor - Phr Systems
Pasadena, CA 91188-0001
Phone 626-405-7914 · Fax 626-405-6768
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