Individual
GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
654 EAST JERSEY STREET, ELIZABETH, NJ 07206
(908) 994-7165
Mailing address
654 EAST JERSEY STREET, ELIZABETH, NJ 07206
(908) 994-7165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05460500
NJ
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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