Individual
MRS. EMMA LEIGH MAMMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 HOOPER AVE, TOMS RIVER, NJ 08753-2236
(732) 505-5775
Mailing address
113 LEONE DR, BRICK, NJ 08724-4514
(732) 397-5833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00105500
NJ
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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