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Individual
KHANH LE
Active
Individual
KHANH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61331863
WA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
W083612028
OK
Other
Enumeration date
04/14/2022
Last updated
01/16/2023
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