NPI | 1780168401 |
---|---|
Other Name | THERESA LYNN LEE SOLE MBR |
Entity Type | Organization |
Authorized Contact | THERESA LEE Owner 406-302-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-09-19 |
Last Update Date | 2020-08-27 |