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Individual

NICOLETTE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107-4405
(215) 955-5638
Mailing address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107-4405

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD481940
NJ

Other

Enumeration date
04/10/2021
Last updated
08/14/2025
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