Organization
JESSICA LEE, PLLC
Active
Other names
Clary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA LOUISE LEE PSYD (NEUROPSYCHOLOGIST)
(320) 761-3644
Entity
Organization
Contact information
Practice address
1411 W SAINT GERMAIN ST STE 202, SAINT CLOUD, MN 56301-4180
(320) 761-3644
Mailing address
1411 W SAINT GERMAIN ST STE 202, SAINT CLOUD, MN 56301-4180
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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