Individual
SAMANTHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 COUNTY ROAD 643, COFFEE SPRINGS, AL 36318-6042
(334) 389-0977
Mailing address
2230 COUNTY ROAD 643, COFFEE SPRINGS, AL 36318-6042
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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