Individual
MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 N MILL ST, APT 311, ASPEN, CO 81611-1556
(310) 927-2348
Mailing address
355 N MILL ST, APT 311, ASPEN, CO 81611-1556
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
3413
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3413
COLORADO
CO
Enumeration date
05/30/2012
Last updated
06/01/2012
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