Organization
SANGEUN LEE, LCSW, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANGEUN LEE LCSW (EXECUTIVE DIRECTOR)
(718) 650-0504
Entity
Organization
Contact information
Practice address
443 VERNON AVE, STATEN ISLAND, STATEN ISLAND, NY 10309-3044
(718) 650-0504
Mailing address
530 MAIN STREET, SUITE 207, FORT LEE, NJ 07024
(718) 650-0504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05552100
NJ
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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