Individual
HANA BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
212 E MADISON AVE, MAGNOLIA, NJ 08049-1409
(856) 361-2720
Mailing address
39 TENBY CHASE DR, VOORHEES, NJ 08043-2967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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