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Individual

JACQUELINE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5235 N CLARK ST FL 2, CHICAGO, IL 60640-2122
(312) 254-2138
Mailing address
4449 N CENTRAL PARK AVE APT 3, CHICAGO, IL 60625-5973

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.012200
IL

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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