Individual
FELICITY LILLIAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
799 N COURT ST STE 11, MEDINA, OH 44256-1766
(419) 575-1978
Mailing address
3533 SLEEPY HOLLOW RD, BRUNSWICK, OH 44212-4156
(208) 901-0863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2005120
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
OH
Enumeration date
06/13/2021
Last updated
04/14/2022
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