Individual
AMY VANSANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
808 CLIFTON ST, FORKED RIVER, NJ 08731-1322
(732) 814-3934
Mailing address
808 CLIFTON ST, FORKED RIVER, NJ 08731-1322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05893300
NJ
104100000X
Social Worker
SW130962
PA
1041C0700X
Clinical Social Worker
Primary
44SC05660300
NJ
Other
Enumeration date
12/01/2014
Last updated
11/10/2015
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