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NPI Code Detail

MEDICARE: BRITTANY LEE LSW

MEDICARE:   BRITTANY  LEE  LSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1538761929
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY LEE LSW
Provider Business Mailing Address
First Line : 1522 N BOWLING GREEN DR
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-3628
Country : US
Telephone Number : 631-806-1927
Fax Number :
Provider Business Practice Location Address
First Line : 3605 EDGMONT AVE
Second Line :
City : BROOKHAVEN
State : PA
Zip : 19015-2862
Country : US
Telephone Number : 631-806-1927
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 11/11/2020

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Directions to “ BRITTANY LEE LSW” Practice Location

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