Individual
SANDRA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3526 MONROE RD, SEMINARY, MS 39479-4054
(601) 818-5571
Mailing address
3526 MONROE RD, SEMINARY, MS 39479-4054
(601) 818-5571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0929
MS
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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