Individual
AMANDA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
48 RECKLESS PL, RED BANK, NJ 07701-1704
(848) 333-6575
Mailing address
520 BOULTON AVE, POINT PLEASANT BORO, NJ 08742-2813
(848) 333-6575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05992700
NJ
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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