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Individual

AMANDA V COSTANTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
219 TAYLORS MILLS RD, MANALAPAN, NJ 07726-3255
(908) 415-2042
Mailing address
53 HORSESHOE CT, TINTON FALLS, NJ 07753-7668
(732) 580-0277

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06091100
NJ

Other

Enumeration date
12/22/2022
Last updated
12/22/2022
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