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Individual

SANDRA S. LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
236 CRESCENZI CT, WEST ORANGE, NJ 07052-4136
(862) 520-5383
Mailing address
236 CRESCENZI CT, WEST ORANGE, NJ 07052-4136
(862) 520-5383

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
35SI00250900
NJ
103TA0700X
Adult Development & Aging Psychologist
103TC0700X
Clinical Psychologist
Primary
35SI00250900
NJ
103TH0004X
Health Psychologist

Other

Enumeration date
05/21/2020
Last updated
05/21/2020
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