Individual
MS. JILLIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12625 PAGE HILL CT, FORT WAYNE, IN 46818-0012
(260) 348-4738
Mailing address
12625 PAGE HILL CT, FORT WAYNE, IN 46818-0012
(260) 348-4738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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