Individual
HENRY MADAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 NEW RD STE 405, LINWOOD, NJ 08221-1283
(609) 289-5354
(609) 266-0459
Mailing address
750 PASADENA DR, NORTHFIELD, NJ 08225-1169
(609) 287-0697
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37PC00096500
NJ
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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