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Individual
SUNG JAE SHIN
Active
Individual
SUNG JAE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
091861
NY
1041C0700X
Clinical Social Worker
Primary
097784
NY
Other
Enumeration date
01/07/2021
Last updated
06/07/2024
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