Individual
JESSICA ANGELINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N 32ND ST, PHOENIX, AZ 85008-6205
(678) 221-8247
Mailing address
1304 S 105TH PL APT 2098, MESA, AZ 85209-3853
(678) 221-8247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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