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General NPI Number Information
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NPI Number | 1326561192
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Entity Type | Organization
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Legal Business Name | MARCI LEVINE THERAPY LLC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 3201 E. EVESHAM ROAD SUITE 109
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City | VOORHEES
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State | NJ
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Zip | 08043-0804
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Country | US
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Telephone | 856-281-1854
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Fax |
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Provider Business Mailing Address
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Address Line | 1763 COUNTRY CLUB DR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3364
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MRS. MARCI LEVINE
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Credential | LCSW
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Telephone | 856-281-1854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05621300
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License Number State | NJ
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