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General NPI Number Information
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NPI Number | 1184016628
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Entity Type | Individual
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Provider Name | ANDREA LEE LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 194 JOLINE AVENUE
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City | LONG BRANCH
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State | NJ
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Zip | 07740
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Country | US
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Telephone | 732-870-7815
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Fax | 732-443-4187
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Provider Business Mailing Address
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Address Line | 194 JOLINE AVENUE
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City | LONG BRANCH
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State | NJ
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Zip | 07740
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Country | US
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Telephone | 732-870-7815
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Fax | 732-443-4187
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05600900
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License Number State | NJ
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