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1780153585
SOO JEONG LEE
TARZANA, CA
NPI
1780153585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
SOO JEONG LEE RADT- I
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
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Mailing Address
SOO JEONG LEE RADT- I
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
Copy
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