Individual
AMANDA RAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
2151 LAFAYETTE AVE, SUITE 105, TERRE HAUTE, IN 47805
(812) 814-4014
Mailing address
2481 N COUNTY ROAD 800 W, SULLIVAN, IN 47882-7153
(765) 914-8887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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