Individual
MS. CORRIE RUTH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, SAC
Contact information
Practice address
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140-5525
(262) 654-0487
(262) 654-2434
Mailing address
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140-5525
(262) 654-0487
(262) 654-2434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14819-131
WI
1041C0700X
Clinical Social Worker
7331-123
WI
Other
Enumeration date
03/28/2007
Last updated
09/11/2025
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