Individual
MRS. JESSICA S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(800) 375-8387
Mailing address
PO BOX 3162, PINEVILLE, LA 71361-3162
(318) 201-1543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12413
LA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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