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General NPI Number Information
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NPI Number | 1396405072
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Entity Type | Individual
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Provider Name | TAWANA MICHELLE LEE MSW, LICSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 4518 BEECH RD STE 230
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City | MARLOW HEIGHTS
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State | MD
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Zip | 20748-6735
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Country | US
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Telephone | 240-814-8519
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Fax |
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Provider Business Mailing Address
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Address Line | 4518 BEECH RD STE 230
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City | MARLOW HEIGHTS
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State | MD
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Zip | 20748-6735
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Country | US
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Telephone | 240-814-8519
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LG50081789
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200003333
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License Number State | DC
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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 | 30727
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License Number State | MD
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