Individual
MS. LEE OLENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1301 W 104TH ST, BLOOMINGTON, MN 55431-3163
(952) 681-6847
Mailing address
1301 W 104TH ST, BLOOMINGTON, MN 55431-3163
(952) 681-6847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31823
MN
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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