Provider Demographics
NPI:1730439712
Name:NOXON LAVEMAN, JO ANN (LCSW)
Entity type:Individual
Prefix:
First Name:JO ANN
Middle Name:
Last Name:NOXON LAVEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 E COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-9406
Mailing Address - Country:US
Mailing Address - Phone:609-306-8350
Mailing Address - Fax:609-683-1791
Practice Address - Street 1:16 E COUNTRYSIDE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-9406
Practice Address - Country:US
Practice Address - Phone:609-306-8350
Practice Address - Fax:609-683-1791
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04695500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist