Individual
AMY S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27303 SLEEPY HOLLOW AVE S, HAYWARD, CA 94545-4203
(510) 784-2079
Mailing address
27303 SLEEPY HOLLOW AVE S, HAYWARD, CA 94545-4203
(510) 784-2079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73338
LCSW
CA
Enumeration date
07/09/2010
Last updated
02/15/2022
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