Michael S Lee, LCSW

NPI #1083707277 in Emmett, Idaho

Provider Information

NPI Number: 1083707277
Entity Type: Individual
Name: Michael S Lee, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2007 S PLAZA
Address 2: SUITE #1
City: Emmett
State: Idaho
ZIP Code: 83617
Phone: (208) 365-5445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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