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Individual

TONY T LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDD

Contact information

Practice address
111 PINEWOOD DR, HATTIESBURG, MS 39402-1453
(601) 705-1901
Mailing address
111 PINEWOOD DR, HATTIESBURG, MS 39402-1453
(601) 705-1901

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CR0443
MS

Other

Enumeration date
08/13/2009
Last updated
08/13/2009
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