Individual
HANNAH ELIZABETH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 PINTAIL DR STE B, SPRINGFIELD, IL 62711-6738
(217) 553-8243
Mailing address
626 BUCKEYE RD, PLEASANT PLAINS, IL 62677-3581
(217) 691-7662
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-163174
IL
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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