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Individual

MRS. EDNA M COVINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC

Contact information

Practice address
19 E ORMOND AVE, CHERRY HILL, NJ 08034-2053
(856) 428-1300
Mailing address
19 E ORMOND AVE, CHERRY HILL, NJ 08034-2053
(856) 428-1300

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00020400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37LC00020400
101YA0400X
NJ
01
T-4378
174400000X
NJ
Enumeration date
04/17/2009
Last updated
12/19/2011
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