Individual
MRS. HALITA ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAODP
Contact information
Practice address
10100 HARPER AVE, DETROIT, MI 48213-3112
(313) 921-9224
(313) 571-9022
Mailing address
12570 GLENFIELD ST, DETROIT, MI 48213-1454
(313) 921-9422
(313) 571-9022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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