SOO JEONG LEE

TARZANA, CA
NPI1780153585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-21
Last Update Date2018-11-21
Business Address
SOO JEONG LEE RADT- I
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
Mailing Address
SOO JEONG LEE RADT- I
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
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