MS. MARILYN GORA FONG, LICSW

Social Worker - Clinical

Active Individual
NPI: 1174673412

Practice Address

12 SARAH ST
Providence, RI 02906

Phone: (508) 235-7337

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1174673412 is the National Provider Identifier for MS. MARILYN GORA FONG, LICSW, a Social Worker - Clinical provider located in Providence, RI. This NPI was enumerated on January 11, 2007.
MS. MARILYN GORA FONG, LICSW practices at 12 SARAH ST, Providence, RI 02906.

Quick Facts

NPI
1174673412
Type
Individual
Enumerated
Jan 11, 2007
Last Updated
Jan 2, 2025

Nearby Providers