Individual
JEFFREY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4611
(510) 352-9200
Mailing address
545 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4611
(510) 352-9200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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