Individual
ADA KUEILAN SANG-MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
170 MYRTLE AVE APT 3, PASSAIC, NJ 07055-3297
(862) 394-7800
Mailing address
170 MYRTLE AVE APT 3, PASSAIC, NJ 07055-3297
(862) 394-7800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06708100
NJ
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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