ERIC BRUCE LEE

CARBONDALE, IL
NPI1902480833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071.010401)
Enumeration Date2021-05-06
Last Update Date2021-05-06
Business Address
ERIC BRUCE LEE PhD
350 UNION GROVE RD
CARBONDALE, IL 62903-7685
Phone number: 435-590-3182
Mailing Address
ERIC BRUCE LEE PhD
350 UNION GROVE RD
CARBONDALE, IL 62903-7685
Phone number: 435-590-3182
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