Individual
TOMA RENEA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE-I
Contact information
Practice address
316 MAIN STREET, LAKE VILLAGE, AR 71653
(870) 265-4477
(870) 265-4488
Mailing address
316 MAIN STREET, LAKE VILLAGE, AR 71653
(870) 265-4477
(870) 265-4488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9121E
AR
Other
Enumeration date
02/22/2008
Last updated
02/06/2024
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