Individual
MS. ELIZABETH M LEIDOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MBA, LCADC
Contact information
Practice address
55 CHESTNUT ST, SALEM, NJ 08079-1443
(856) 878-1212
Mailing address
55 CHESTNUT ST, SALEM, NJ 08079-1443
(856) 878-1212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00105900
NJ
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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