Doctor Name: | MR. ALVIN LOUIS WONG |
NPI Number: | 1528037900 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | CSW001874 |
Business Practice Address: | 1 Jarrett White Rd Tamc, HI - 968595001 |
Business Phone Number: | 8084335747 |
Business Fax Number: | |
Mailing Address: | 95-194 Waimakua Dr, MILILANI |
State: | HI |
Postal Code: | 967893243 |
Phone Number: | 8084335747 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW001874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |