Individual
AMANDA HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
174 UNION ST, RIDGEWOOD, NJ 07450-4498
(201) 652-5114
Mailing address
174 UNION ST, RIDGEWOOD, NJ 07450-4498
(201) 652-5114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00440100
NJ
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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