Individual
MS. LIEN-LIEN LILLY WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
1311 CRYSTAL HARBOR DR., FAIRBORN, OH 45324
(626) 377-7226
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSYCHOLOGY TRAINEE
OH
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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