Individual
DR. GLENELL M LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1656 E UNION ST, GREENVILLE, MS 38703-3250
(662) 332-5360
(662) 332-5363
Mailing address
1656 E UNION ST, GREENVILLE, MS 38703-3250
(662) 332-5360
(662) 332-5363
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C1291
MS
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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