Individual
JO ANN K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 15TH LN, GREENACRES, FL 33463-4359
(954) 249-7743
Mailing address
1502 15TH LN, GREENACRES, FL 33463-4359
(954) 249-7743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY1508
FL
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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