Individual
DEANDRE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2101 GARNER RD, RALEIGH, NC 27610-0114
(919) 787-6131
Mailing address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 787-6131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P017869
—
1041C0700X
Clinical Social Worker
Primary
P017869
NC
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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