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1609352608
LEVI LIPOVENKO
LAKEWOOD, NJ
NPI
1609352608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NJ 35SI00670600)
Enumeration Date
2018-07-13
Last Update Date
2022-07-14
Business Address
MR. LEVI LIPOVENKO
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 732-364-6666
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Mailing Address
MR. LEVI LIPOVENKO
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 732-364-6666
Copy
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