Individual
TAMLA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 NESHAMINY INTERPLEX DR STE 202, TREVOSE, PA 19053-6940
(678) 763-3175
Mailing address
7950 HENRY AVE APT 46A, PHILADELPHIA, PA 19128-7044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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