Individual
DENISE LIDOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-DMT,LPC
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6792
Mailing address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6792
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007121
PA
Other
Enumeration date
12/04/2013
Last updated
08/04/2015
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