Individual
RUSSELL F LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
E.D., LP
Contact information
Practice address
722 15TH ST NW, BEMIDJI, MN 56601-2528
(218) 751-3280
(218) 751-3298
Mailing address
722 15TH ST NW, BEMIDJI, MN 56601-2528
(218) 751-3280
(218) 751-3298
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1813
MN
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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