Lee, Tandra Nicole Brown

Lee, Tandra Nicole Brown is an individual health care provider with primary practice located at 3519 Regency Pkwy , District Heights MD 20747-3819. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lee, Tandra Nicole Brown can be contacted via phone (240) 274-4702.

Contact Information

Primary practice address
3519 Regency Pkwy District Heights MD 20747-3819
Phone: (240) 274-4702
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13915 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50081239 District of Columbia

Profile Details

NPI number 1053777995
LBN Legal business name Lee, Tandra Nicole Brown
Credentials LICSW, LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2016
Last updated Mar 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053777995 NPPES
Maryland Other 13915 LCSW-C
Maryland Other LG50079107 LCSW-C
Maryland Other LC50081239 LCSW-C

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