Individual
HANNAH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 MAST RD, MANCHESTER, NH 03102-1429
(175) 044-0648
Mailing address
664 MAST RD, MANCHESTER, NH 03102-1429
(175) 044-0648
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
09/22/2020
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