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Individual

ANN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 956-6363
Mailing address
16 BALDWIN TER, LIVINGSTON, NJ 07039-2702
(973) 535-6443

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00095100
NJ

Other

Enumeration date
08/07/2013
Last updated
08/07/2013
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