Individual
MARIA A MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
400 MARKET ST, CAMDEN, NJ 08102-1526
(856) 541-1700
Mailing address
101 PHEASANT FIELD LN, MOORESTOWN, NJ 08057-1431
(856) 439-0586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05519400
NJ
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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