Individual
MS. CHRISTINE J. LIDESTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 HOLLISTER RD UNIT 7, TETERBORO, NJ 07608-1139
(201) 498-9140
(201) 498-9144
Mailing address
121 WOODS AVE, BERGENFIELD, NJ 07621-1014
(201) 385-2296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00834700
NJ
Other
Enumeration date
12/18/2006
Last updated
04/28/2021
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