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Individual

DR. STEPHEN J KRAVCHUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D,

Contact information

Practice address
140 S. BROADWAY, #7, PITMAN, NJ 08071-2417
(844) 365-7676
(844) 365-7676
Mailing address
PO BOX 211, PITMAN, NJ 08071-0211
(844) 365-7676
(844) 365-7676

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00376500
NJ
103TC0700X
Clinical Psychologist
Primary
5004
NJ

Other

Enumeration date
09/09/2008
Last updated
09/16/2014
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