Individual
PHYLLIS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 DONNA DR, NEW FRANKLIN, OH 44319-3563
(330) 645-5864
Mailing address
344 DONNA DR, NEW FRANKLIN, OH 44319-3563
(330) 645-5864
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
7718879
OH
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
7718879
OH
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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