Individual
ADDISON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
277 N. BRUNSWICK ST., JESUP, GA 31546
(912) 427-0447
Mailing address
1507 ALICE ST, WAYCROSS, GA 31501-4530
(912) 614-7847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004304
GA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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