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Individual
JUDITH M. LEE
Active
Individual
JUDITH M. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669495
TUFTS HEALTH PLAN
MA
01
—
P02870
BLUE CROSS
MA
Enumeration date
06/07/2006
Last updated
04/07/2009
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