Individual
MRS. TAKIYAH TONE' LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWSA
Contact information
Practice address
330 BILLINGSLEY RD STE 203, CHARLOTTE, NC 28211-5020
(704) 237-4240
Mailing address
330 BILLINGSLEY RD STE 203, CHARLOTTE, NC 28211-5020
(704) 237-4240
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
P011264
NC
104100000X
Social Worker
Primary
PO15890
NC
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
07/21/2017
Last updated
07/21/2022
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