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Individual
YOUNGHOON KWON
Active
Individual
YOUNGHOON KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ00543Z
MEDICARE
CA
Enumeration date
08/21/2012
Last updated
08/21/2012
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