Individual
DR. LEE R DILISCIANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
115 BUDD BLVD, WEST DEPTFORD, NJ 08096-3338
(856) 217-5546
Mailing address
10 RAVENSWOOD WAY, SEWELL, NJ 08080-3418
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00538900
NJ
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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