Individual
AUGUSTA D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
340 ROUTE 34, COLTS NECK, NJ 07722-2433
(732) 956-6614
Mailing address
304 PARK AVE, ATLANTIC HIGHLANDS, NJ 07716-2416
(732) 956-6614
(732) 671-7803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
076829-1
NY
1041C0700X
Clinical Social Worker
078946
NY
1041C0700X
Clinical Social Worker
Primary
44SC05408600
NJ
Other
Enumeration date
06/13/2008
Last updated
08/13/2013
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