Individual
MS. KELSEY LYNN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 OAK ST, NOBLE, IL 62868-1904
(217) 891-3743
Mailing address
103 OAK ST, NOBLE, IL 62868-1904
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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