Individual
JESSICA MARIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
485 MOXIE LN, DELPHOS, OH 45833-9182
(419) 692-3405
Mailing address
485 MOXIE LN, DELPHOS, OH 45833-9182
(419) 692-3405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2013327-SP
OH
Other
Enumeration date
07/10/2013
Last updated
08/29/2013
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