SUNG JAE SHIN

REGO PARK, NY
NPI1710575568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  097784)
Additional Taxonomies104100000X Social Worker
(Licence: NY  091861)
Enumeration Date2021-01-07
Last Update Date2024-06-07
Business Address
SUNG JAE SHIN LCSW
6110 ALDERTON ST APT B3
REGO PARK, NY 11374-2702
Phone number: 929-206-7720
Mailing Address
SUNG JAE SHIN LCSW
7119 165TH ST
FRESH MEADOWS, NY 11365-4225
Phone number: 929-206-7720