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1528897055
AMANDA SOPHANNY LEM
SAN JOSE, CA
NPI
1528897055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
AMANDA SOPHANNY LEM
298 BERNAL RD
SAN JOSE, CA 95119-1809
Phone number: 408-638-4744
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Mailing Address
AMANDA SOPHANNY LEM
728 GLENBURRY WAY
SAN JOSE, CA 95123-1319
Phone number: 408-401-8218
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