Individual
MS. SANDRA JEANETTE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW PCMHT (#3820)
Contact information
Practice address
200 N CONGRESS ST, JACKSON, MS 39201-1902
(601) 624-1496
(601) 326-3754
Mailing address
200 N CONGRESS ST, JACKSON, MS 39201-1902
(601) 624-1496
(601) 326-3754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104100000
MS
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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