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Individual

CHONG LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11980 DUMONT RD, PHILADELPHIA, PA 19116-2321
(215) 715-6134
Mailing address
11980 DUMONT RD, PHILADELPHIA, PA 19116-2321

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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