Individual
SAMUEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 S WHEATON AVE STE 101, WHEATON, IL 60187-5207
(630) 480-6444
Mailing address
213 S WHEATON AVE STE 101, WHEATON, IL 60187-5207
(630) 480-6444
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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