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Individual

MR. GREGG W. LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CCC-SLP

Contact information

Practice address
3210 OAHU AVE, HONOLULU, HI 96822-1248
(808) 389-3961
Mailing address
PO BOX 61662, HONOLULU, HI 96839-1662

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-539
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09124793
ASHA
Enumeration date
02/06/2008
Last updated
02/06/2008
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