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Individual

ALLEN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4383 N 27TH ST, MILWAUKEE, WI 53216-1809
(414) 871-8883
(414) 871-8950
Mailing address
8221 W GREEN TREE RD, MILWAUKEE, WI 53223-4929

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14352
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42021500
WI
Enumeration date
02/23/2007
Last updated
07/09/2007
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