Individual
CAROL ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S HUNTINGTON ST, SYRACUSE, IN 46567-1923
(574) 457-4400
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010750A
IN
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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