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Individual

JEANNIE KANG-SUH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 794-6573
Mailing address
236 KENILWORTH RD, RIDGEWOOD, NJ 07450-5209
(201) 615-9563

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00304400
NJ

Other

Enumeration date
05/30/2019
Last updated
05/30/2019
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