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General NPI Number Information
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NPI Number | 1114085529
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Entity Type | Individual
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Provider Name | JUDITH KAY LEE LCSW, LIMHP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 600 E STATE HIGHWAY 260 STE 1
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City | PAYSON
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State | AZ
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Zip | 85541-4967
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Country | US
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Telephone | 480-788-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 703 ABRAHAM ST
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City | FIRTH
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State | NE
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Zip | 68358-6242
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Country | US
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Telephone | 309-351-3599
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 5397
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1863
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09928931
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2258
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18938
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License Number State | AZ
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