Individual
MICHAEL LAVETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 W DIVISION ST, DOVER, DE 19904-2760
(813) 323-4663
Mailing address
35 STATE RD, APT. E20, MEDIA, PA 19063-1581
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC-0000569
DE
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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