Individual
AUSTINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 COMMERCE DR STE 255, WOODBURY, MN 55125-5406
(612) 600-8621
Mailing address
700 COMMERCE DR STE 255, WOODBURY, MN 55125-5406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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