Individual
SIMONE ALLEGRA LAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
736 S WHITE HORSE PIKE, AUDUBON, NJ 08106-1346
(856) 202-6623
Mailing address
502 BELL RD, MOUNT EPHRAIM, NJ 08059-1711
(408) 691-6669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC01011000
NJ
Other
Enumeration date
08/30/2021
Last updated
05/07/2024
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