Individual
DR. TRACY WILSON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
130 NORTHWOODS BLVD, SUITE B, COLUMBUS, OH 43235-7473
(614) 456-9842
(614) 456-9842
Mailing address
328 CHATHAM RD, SUITE 201, COLUMBUS, OH 43214-3316
(614) 456-9842
(614) 456-9842
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6534
OH
Other
Enumeration date
03/25/2006
Last updated
07/21/2011
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