Individual
KO EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8519 TUTTLE RD, SPRINGFIELD, VA 22152-1508
(703) 451-8041
Mailing address
5743 NORDEEN OAK CT, BURKE, VA 22015-2209
(703) 508-1074
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
0733008393
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/01/2018
Last updated
08/28/2024
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