Individual
MR. MARQUEL DEVARIUS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSHCA
Contact information
Practice address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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