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1245428945
THEODORE TAEWOO LEE
SAN JOSE, CA
NPI
1245428945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 27274)
Enumeration Date
2007-10-09
Last Update Date
2012-07-24
Business Address
-- THEODORE TAEWOO LEE LCSW
80 GREAT OAKS BLVD
SAN JOSE, CA 95119-1310
Phone number: 408-363-3000
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Mailing Address
-- THEODORE TAEWOO LEE LCSW
80 GREAT OAKS BLVD
SAN JOSE, CA 95119-1310
Phone number: 408-363-3000
Copy
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