Individual
JA-EUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N GATE RD, TREVOSE, PA 19053
(267) 991-7685
Mailing address
2500 N GATE RD, TREVOSE, PA 19053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129243
PA
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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