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Individual

DR. MICHAEL PEDICIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD LPC

Contact information

Practice address
310 NEW JERSEY AVENUE, ABSECON, NJ 08201-2413
(609) 646-7162
Mailing address
312 FOREST DRIVE, LINWOOD, NJ 08221
(609) 927-2581

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00044200
NJ
101YP2500X
Professional Counselor
PC002405
PA

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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