Individual
LEE R PAIGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976
Mailing address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0049
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007970954
—
MS
Enumeration date
03/23/2007
Last updated
01/11/2023
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