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1093453367
BRANDON MICHAEL LEE
NUTLEY, NJ
NPI
1093453367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
Mr. BRANDON MICHAEL LEE LSW
169 CHESTNUT ST
NUTLEY, NJ 07110-2311
Phone number: 973-667-1884
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Mailing Address
Mr. BRANDON MICHAEL LEE LSW
1806 HAMILTON ST
BELLEVILLE, NJ 07109-5348
Phone number: 551-427-8462
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