JONATHAN LEBOLT

WEST ORANGE, NJ
NPI1639125446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  20618)
Enumeration Date2006-05-25
Last Update Date2022-12-14
Business Address
Dr. JONATHAN LEBOLT PhD, LCSW, CGP
38 CERONE CT
WEST ORANGE, NJ 07052-4113
Phone number: 973-524-4917
Mailing Address
Dr. JONATHAN LEBOLT PhD, LCSW, CGP
38 CERONE CT
WEST ORANGE, NJ 07052-4113
Phone number: 973-524-4917
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