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Individual
REN LEE
Active
Individual
REN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110475
NY
1041C0700X
Clinical Social Worker
089.0136696TELE
VT
1041C0700X
Clinical Social Worker
Primary
097453
NY
1041C0700X
Clinical Social Worker
44SC06614200
NJ
Other
Enumeration date
10/03/2020
Last updated
07/16/2026
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