Provider Information for 1194443689
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DAISY DAWOON KO LMHC
Sex: Female
NPI: 1194443689
Last Updated: 2022-08-19
Certification Date: 2022-08-19
Certification Date: 2022-08-19
Details
| Name | Value | ||||||||||||||
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| NPI | 1194443689 | ||||||||||||||
| Enumeration Date | 2022-08-19 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 23 TOWN GARDEN DR APT 8 LIVERPOOL, NY 13088-5589 United States Phone: | Fax: | ||||||||||||||
| Primary Practice Address | 23 TOWN GARDEN DR APT 8 LIVERPOOL, NY 13088-5589 United States Phone: 714-334-0915 | Fax: | ||||||||||||||
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