Organization
LARRY L LEE, LSCSW
Active
Organization
LARRY L LEE, LSCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LYNN LEE LSCSW (THERAPIST)
(316) 734-5670
Entity
Organization
Contact information
Practice address
1440 TAPESTRY LN, GODDARD, KS 67052-9337
(316) 734-5670
(316) 550-6380
Mailing address
1440 TAPESTRY LN, GODDARD, KS 67052-9337
(316) 734-5670
(316) 550-6380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2003 LSCSW
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458440A
—
KS
01
—
1255329488
TYPE I NPI 1255329488
KS
Enumeration date
07/26/2011
Last updated
07/26/2011
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