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Individual

DR. CHARLES R LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
2100 PLEASANT AVENUE, HAMILTON, OH 45015
(513) 868-1562
(513) 868-1415
Mailing address
2100 PLEASANT AVENUE, HAMILTON, OH 45015
(513) 868-1562
(513) 868-1415

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3582
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3582
PSY
OH
Enumeration date
06/03/2008
Last updated
06/03/2008
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