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Individual

LEE KHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SW

Contact information

Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2092
EINHPRC
RI
01
292177
EI BLUE CROSS
RI
01
412296
EI BLUE CHIP
RI
01
6400144
EI UNITED
RI
05
ES01788
RI
Enumeration date
11/21/2007
Last updated
11/21/2007
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