Individual
ERICA MICHELLE LYNNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 326-8671
Mailing address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 326-8671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
077434
IA
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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