Individual
AMANDA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
74 BRICK BLVD, BRICK, NJ 08723-7984
(732) 832-3444
Mailing address
74 BRICK BLVD, BRICK, NJ 08723-7984
(732) 832-3444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06944900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
06/09/2023
Last updated
04/29/2024
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