Individual
DR. HENRIETTA L. LAVENGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.MIN.
Contact information
Practice address
1000 WHITE HORSE RD, VOORHEES, NJ 08043-4406
(856) 783-4200
Mailing address
211 FALLS CT, MEDFORD, NJ 08055-8236
(856) 596-7018
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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