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Individual
TANDRA NICOLE BROWN LEE
Active
Individual
TANDRA NICOLE BROWN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13915
MD
1041C0700X
Clinical Social Worker
Primary
LC50081239
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13915
LCSW-C
MD
01
—
LC50081239
LICSW
DC
01
—
LG50079107
DISTRICT OF COLUMBIA BOARD OF SOCIAL WORK
—
Enumeration date
01/07/2016
Last updated
03/31/2023
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