LEVI LIPOVENKO

LAKEWOOD, NJ
NPI1609352608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: NJ  35SI00670600)
Enumeration Date2018-07-13
Last Update Date2022-07-14
Business Address
Mr. LEVI LIPOVENKO
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 732-364-6666
Mailing Address
Mr. LEVI LIPOVENKO
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 732-364-6666