Lee, Corrie Ruth
Lee, Corrie Ruth is an individual health care provider with primary practice located at 3734 7Th Ave Suite 24, Kenosha WI 53140-5525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Lee, Corrie Ruth can be contacted via phone (262) 654-0487.Contact Information
Primary practice address
3734 7Th Ave Suite 24
Kenosha WI 53140-5525
Phone: (262) 654-0487
Fax: (262) 654-2434
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14819-131 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7331-123 | Wisconsin |
Profile Details
NPI number | 1275652315 |
---|---|
LBN Legal business name | Lee, Corrie Ruth |
Credentials | MSW, LCSW, SAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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