Individual
DR. CAROLYN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3340 REPUBLIC AVE STE 110, ST LOUIS PARK, MN 55426-4189
(952) 522-3753
Mailing address
3340 REPUBLIC AVE STE 110, ST LOUIS PARK, MN 55426-4189
(952) 522-3753
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6852
MN
Other
Enumeration date
06/30/2020
Last updated
01/25/2024
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