Individual
JENNIFER MANDATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
513 W MOUNT PLEASANT AVE STE 212, LIVINGSTON, NJ 07039-1721
(973) 400-8371
Mailing address
610 BENSEL DR, LANDING, NJ 07850-1407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00408600
NJ
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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