Individual
MRS. CHANDRA JILL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 MARYLAND WAY STE 320, BRENTWOOD, TN 37027-7591
(615) 370-9770
Mailing address
5110 MARYLAND WAY STE 320, BRENTWOOD, TN 37027-7591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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