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Individual
DR. OMARAN DEVON LEE I
Active
Individual
DR. OMARAN DEVON LEE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN PT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
NULL
101YP1600X
Pastoral Counselor
Primary
—
NULL
374K00000X
Religious Nonmedical Practitioner
—
NULL
Other
Enumeration date
05/16/2023
Last updated
08/08/2023
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