Individual
LISA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4477 W EMERALD ST STE C100, BOISE, ID 83706-2058
(208) 321-0160
(208) 321-0221
Mailing address
2080 W SNYDER DR, MERIDIAN, ID 83642-5473
(208) 850-1476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-38920
ID
Other
Enumeration date
07/20/2016
Last updated
08/09/2019
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