Individual
AMANDA WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
465 PROSPECT AVE, ORADELL, NJ 07649-1423
(201) 961-3419
Mailing address
465 PROSPECT AVE, ORADELL, NJ 07649-1423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06416700
NJ
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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