Terrell Lee Supportive Employment (comp)

NPI #1073881926 in Dawson, Georgia

Provider Information

NPI Number: 1073881926
Entity Type: Organization
Organization Name: Terrell Lee Supportive Employment (comp)
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Dec 7, 2011
Last Updated: Jan 5, 2026

Practice Location

Address: 508 OAK ST SE
City: Dawson
State: Georgia
ZIP Code: 39842-2024
Phone: (229) 995-4587

Authorized Official

Name: DANA P GLASS, LCSW
Title: CEO
Phone: (229) 430-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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