Provider Demographics
NPI:1841542529
Name:LEE, AUBREY S JR (MSW)
Entity type:Individual
Prefix:MR
First Name:AUBREY
Middle Name:S
Last Name:LEE
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17321 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-3132
Mailing Address - Country:US
Mailing Address - Phone:313-255-2500
Mailing Address - Fax:313-255-3594
Practice Address - Street 1:17321 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-3132
Practice Address - Country:US
Practice Address - Phone:313-255-2500
Practice Address - Fax:313-255-3594
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker