Individual
MS. AMANDA WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 PARK AVE, FLEMINGTON, NJ 08822-1319
(908) 782-7905
(908) 782-5934
Mailing address
900 ROUTE168, SUITED2, WASHINGTON PROFESSIONAL CAMPUS, TURNERSVILLE, NJ 08012-1125
(856) 352-0061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SC04505400
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04505400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087866
—
NJ
Enumeration date
11/19/2013
Last updated
09/16/2016
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