Individual
BROOKE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
46 PINE DR, WHITE STONE, VA 22578-2641
(804) 480-9104
Mailing address
46 PINE DR, WHITE STONE, VA 22578-2641
(804) 480-9104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016395
VA
Other
Enumeration date
02/15/2024
Last updated
04/30/2024
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