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Individual

THUY THANH THI LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHPSW

Contact information

Practice address
2410 SENTER RD, SAN JOSE, CA 95111-1040
(408) 518-6204
Mailing address
2410 SENTER RD, SAN JOSE, CA 95111-1040
(408) 518-6204

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-QMTYZU
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MPSS-QMTYZU
CA
Enumeration date
10/07/2025
Last updated
10/24/2025
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