Individual
GINA EASON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1310 E MAIN ST, HUMBOLDT, TN 38343-3328
(731) 618-1315
Mailing address
1310 E MAIN ST, HUMBOLDT, TN 38343-3328
(731) 618-1315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1658
TN
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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