Individual
ELISABETH ANNA MULDOWNEY CLYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, R-DMT
Contact information
Practice address
311 MARKET ST, CAMDEN, NJ 08102-1523
(856) 963-5668
Mailing address
716 ATLANTIC AVE APT B, COLLINGSWOOD, NJ 08108-3162
(484) 202-3104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00709000
NJ
225600000X
Dance Therapist
2711
NJ
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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