Individual
AMANDA ELIZABETH MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 SHELLEY DR STE 2F, HACKETTSTOWN, NJ 07840-2530
(908) 892-6225
Mailing address
121 SHELLEY DR STE 2F, HACKETTSTOWN, NJ 07840-2530
(908) 892-6225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06217900
NJ
Other
Enumeration date
11/13/2018
Last updated
02/01/2022
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