Individual
DR. AMANDA NIELIWOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-6500
Mailing address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-6500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05498500
NJ
Other
Enumeration date
07/04/2018
Last updated
02/17/2023
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