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General NPI Number Information
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NPI Number | 1790376531
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Entity Type | Individual
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Provider Name | ERICA LEE LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1300 N CUSTER RD APT 1223
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City | ALLEN
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State | TX
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Zip | 75013-3445
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Country | US
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Telephone | 662-633-8183
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N CUSTER RD APT 1223
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City | ALLEN
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State | TX
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Zip | 75013-3445
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Country | US
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Telephone | 662-633-8183
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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 | L16335
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License Number State | OR
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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 | LICSW1140682
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License Number State | MA
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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 | 64079
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License Number State | TX
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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 | I.2506720
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License Number State | OH
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