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Individual

DR. MIA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
5 E 16TH ST FL 6, NEW YORK, NY 10003-3112
(732) 673-1462
Mailing address
31 JANE ST APT 4D, NEW YORK, NY 10014-1978

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025100
NY

Other

Enumeration date
10/06/2022
Last updated
10/06/2022
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