Individual
AMELIA ROSE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
600 ROUTE 35, RED BANK, NJ 07701-5018
(732) 706-1300
Mailing address
210 SECOND AVE APT 26, ASBURY PARK, NJ 07712-6268
(732) 865-0587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06801800
NJ
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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