Individual
EDNISHA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 PHILIP ST STE 209, NEW ORLEANS, LA 70113-2525
(504) 826-2675
(504) 826-2672
Mailing address
7600 ANNE MARIE CT, NEW ORLEANS, LA 70128-1574
(504) 230-9918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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