Individual
MS. NICOLE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2506 FIELDS SOUTH DR APT 304, CHAMPAIGN, IL 61822-3715
(217) 203-2008
(844) 412-7089
Mailing address
PO BOX 162, PAXTON, IL 60957-0162
(217) 379-4302
(217) 817-0379
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150117089
IL
Other
Enumeration date
08/05/2021
Last updated
07/14/2025
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