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Individual
HEESOO CHANG
Active
Individual
HEESOO CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDT
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
07/23/2026
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