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Individual
DAESEONG SHIN
Active
Individual
DAESEONG SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC14961
MD
Other
Enumeration date
12/30/2024
Last updated
01/02/2025
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