Individual
JODI LYNN KOUTSOVITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 KINGS WAY E STE B456, SEWELL, NJ 08080-2237
(856) 256-0007
Mailing address
1998 ROUTE 70 E, CHERRY HILL, NJ 08003-1834
(856) 424-2000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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