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Individual

LOUISA LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1356 S BOUVIER ST UNIT B, PHILADELPHIA, PA 19146-4703
(267) 252-6623
Mailing address
1356 S BOUVIER ST UNIT B, PHILADELPHIA, PA 19146-4703
(267) 252-6623

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/26/2025
Last updated
03/26/2025
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