Individual
MR. GENE E. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
3900 W BROAD ST, RICHMOND, VA 23230-3914
(804) 353-4461
(804) 355-4157
Mailing address
3900 W BROAD ST, RICHMOND, VA 23230-3914
(804) 353-4461
(804) 355-4157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002087
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992959928
—
VA
Enumeration date
02/03/2009
Last updated
10/22/2012
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