Individual
DOROTHY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA COUNSELOR
Contact information
Practice address
607 PAXTON AVE, CALUMET CITY, IL 60409-3833
(708) 868-9715
Mailing address
607 PAXTON AVE, CALUMET CITY, IL 60409-3833
(708) 868-9715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001438A
IN
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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