Provider Information for 1841922564
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SYLVIA LEE LPC
Sex: Female
NPI: 1841922564
Last Updated: 2022-06-30
Certification Date: 2022-06-30
Certification Date: 2022-06-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841922564 | ||||||||
| Enumeration Date | 2022-06-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 6021 DE PERE, WI 54115-6021 United States Phone: 920-632-3895 | Fax: | ||||||||
| Primary Practice Address | 1039 W MASON ST GREEN BAY, WI 54303-1842 United States Phone: 920-632-3895 | Fax: | ||||||||
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