| Doctor Name: | MS. SHALON DENISE LEE |
| NPI Number: | 1023028255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW ACSW CFAE |
| License Number: | |
| Business Practice Address: | 28 N Saginaw St Ste 813 Pontiac, MI - 483420266 |
| Business Phone Number: | 2484510540 |
| Business Fax Number: | 2484510544 |
| Mailing Address: | Po Box 420266, PONTIAC |
| State: | MI |
| Postal Code: | 483420266 |
| Phone Number: | 2484510540 |
| Fax Number: | 2484510544 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |