Individual
JIMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6190
Mailing address
409 N EAU CLAIRE AVE APT 120, MADISON, WI 53705-2849
(608) 213-1971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3003
WI
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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