Individual
DR. ELVIRA M DICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1868 GREENTREE RD, CHERRY HILL, NJ 08003-2031
(856) 424-4408
(856) 424-9164
Mailing address
1868 GREENTREE RD, CHERRY HILL, NJ 08005
(856) 424-4408
(856) 424-9164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00103400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040509
—
NJ
Enumeration date
02/16/2007
Last updated
07/08/2007
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