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Individual

RICHARD GREGORY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD LP

Contact information

Practice address
1125 6TH STREET SE, WOODLAND CENTERS, WILLMAR, MN 56201-4675
(320) 231-9148
(320) 231-9140
Mailing address
1023 KINGS DRIVE, WILLMAR, MN 56201
(320) 235-4613
(320) 231-9140

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3005
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013096
PREFERRED ONE
01
115675
UCARE
01
6137855
UBH
01
8F865LE
BLUE CROSS
Enumeration date
12/04/2006
Last updated
07/08/2007
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