Provider Information for 1942744867
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EUNICE WONJOO LEE LCSW
Other Names:Former Name:WON JOO LEE LCSWSex: Female
NPI: 1942744867
Last Updated: 2023-08-09
Certification Date: 2023-08-09
Certification Date: 2023-08-09
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1942744867 | ||||||||||||
| Enumeration Date | 2016-12-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 23 HAMPTON CT BASKING RIDGE, NJ 07920-3098 United States Phone: 908-373-1079 | Fax: | ||||||||||||
| Primary Practice Address | 23 HAMPTON CT BASKING RIDGE, NJ 07920-3098 United States Phone: 908-373-1079 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 288 RUES LN | ||||||||||||
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