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Organization
AMAZING STRIDES
Active
Organization
AMAZING STRIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOMINIQUE ANDERSON (FOUNDER/EXECUTIVE DIRECTOR)
(973) 241-3602
Entity
Organization
Contact information
Practice address
625 BROAD ST STE 240, NEWARK, NJ 07102-4417
(973) 241-3602
(862) 444-0135
Mailing address
225 RIDGEWOOD AVE UNIT 8152, GLEN RIDGE, NJ 07028-6619
(973) 241-3602
(862) 444-0135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
01/08/2026
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