Individual
DR. MARY JOLENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(515) 460-1198
Mailing address
693 N PEORIA ST APT 3N, CHICAGO, IL 60642-6004
(515) 460-1198
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.011028
IL
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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