Individual
PHYLICIA K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
725 JENSEN GROVE DR STE 4, BLACKFOOT, ID 83221-1636
(208) 604-6877
Mailing address
1110 S BROADWAY ST, BLACKFOOT, ID 83221-3135
(208) 604-6877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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