Individual
SOOMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2253
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/04/2014
Last updated
09/15/2020
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