Individual
MS. KIEOLA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
116 HORIZON VIEW DR, FARMINGVILLE, NY 11738-3039
(516) 380-9594
Mailing address
PO BOX 101, CORAM, NY 11727-0101
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001330
NY
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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