Individual
KAREN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 MONROE ST, VICKSBURG, MS 39183-2953
(601) 638-1336
(601) 529-1224
Mailing address
295 SINGING HILLS ROADE, VICKSBURG, MS 39180
(601) 529-1224
(601) 638-2093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0962
MS
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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