NPI 1003963638

Gary W Lee, LCSW

Practitioner Clinical Social Worker Meridian, ID

Practice location

Address: 1965 S Eagle Rd STE 140, Meridian, ID 83642-9288
Phone: (208) 957-6514
Fax: (208) 957-6506

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW578 (ID)

Other Social Worker providers in Idaho →

Registry record

NPI: 1003963638
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2007
Record last updated: 5 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.