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Individual

SAMANTHA ADA AYUDANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW, SSW

Contact information

Practice address
195 VIRGINIA ST, HILLSIDE, NJ 07205-2742
(908) 352-7664
Mailing address
437 BROOKSIDE DR, ROSELLE, NJ 07203-2957

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL07353600
NJ
1041S0200X
School Social Worker
Primary
01878580
NJ

Other

Enumeration date
04/01/2025
Last updated
09/03/2025
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