Individual
MRS. TESSA MACKENZIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
317 NORTH 4TH ST, ELBURN, IL 60119
(630) 347-6211
Mailing address
317 N 4TH ST, ELBURN, IL 60119-8957
(630) 347-6211
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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