Individual
MS. AMANDA MARIE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
51 UPPER MONTCLAIR PLZ STE 24, UPPER MONTCLAIR, NJ 07043-1340
(862) 305-0590
Mailing address
163 RIDGE RD APT B, CEDAR GROVE, NJ 07009-2058
(862) 305-0590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05453600
NJ
Other
Enumeration date
07/08/2010
Last updated
11/05/2019
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