Individual
JESSICA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13725 STARR COMMONWEALTH RD, ALBION, MI 49224-9525
(517) 630-2580
Mailing address
2563 COUNTRY VILLAGE CT, ANN ARBOR, MI 48103-6514
(734) 883-0981
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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