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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARI EVONNE KONG, LCSW

Active

MARI EVONNE KONG, LCSW is a Clinical Social Worker healthcare provider located in ROCKFORD, Illinois. NPI 1093044455 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ROCKFORD, IL

Registration Details

NPI Number
1093044455
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2009 (16.654954586117 yrs)
Last Updated
Dec 14, 2009
Licenses
149.005213 (IL)
1605-123 (WI)
612-124 (WI)

Practice Information

Address
5301 E STATE ST STE 101
ROCKFORD, IL, 611082388
Browse IL providers · Browse ZIP 61108
Phone
8153978500
Fax
8153978588
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Marriage & Family Therapist

Other Clinical Social Worker Providers in ROCKFORD, IL

Name Credential NPI
MISS MARCY L TUREK LCSW 1013994789
MRS. SHARON ANN OCKERLANDER MSW 1538149273
MR. JAMES ROBERT DAVIES LCSW 1235103730
MS. LAURA LYNN ALLMAN LCSW 1881661023
MR. DANIEL SOMMER LCSW 1265470496
MRS. BARBARA HALLSTROM MSW/LCSW 1154360758
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.