Individual
ANTIGONE L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 COCHRANE WOODS LN, MATTHEWS, NC 28105-4154
(704) 294-3774
Mailing address
1214 COCHRANE WOODS LN, MATTHEWS, NC 28105-4154
(704) 294-3774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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