MEDICARE: YUHSIN LEE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW9252	FL

General Provider Information

NPI Number	:	1275772360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUHSIN LEE LCSW

Provider Business Mailing Address
First Line	:	6410 TROPICAL WAY
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32967-5269
Country	:	US
Telephone Number	:	772-584-2616
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 21ST ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3490
Country	:	US
Telephone Number	:	772-584-2616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2009
Last Update Date	:	07/28/2009

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