Individual
MR. LAWRENCE ALFRED AVITABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 ELIZABETH ST, ORADELL, NJ 07649-2607
(201) 289-7077
Mailing address
70 ELIZABETH ST, ORADELL, NJ 07649-2607
(201) 289-7077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00081400
NJ
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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