MS. Licia A Devivo, LCSW

NPI #1184877227 in Margate City, New Jersey

Provider Information

NPI Number
1184877227
Entity Type
Individual
Name
MS. Licia A Devivo, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Nov 3, 2008
Last Updated
Nov 3, 2008

Practice Location

Address
607 N JEROME AVE
ZIP Code
08402-1527
Phone
(609) 822-1108

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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