Individual
LEE CHASSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 CANAL AVE SW STE M, GRANDVILLE, MI 49418-2667
(616) 953-0721
Mailing address
PO BOX 1767, GRAND RAPIDS, MI 49501-1767
(616) 953-0721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013302
MI
Other
Enumeration date
03/30/2015
Last updated
04/17/2015
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