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1093027427
TIA LEE
BRONX, NY
NPI
1093027427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12301694)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
-- TIA LEE MA
260 E 161ST ST
BRONX, NY 10451-3512
Phone number: 718-993-3397
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Mailing Address
-- TIA LEE MA
260 E 161ST ST
BRONX, NY 10451-3512
Phone number: 718-993-3397
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