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Individual

AMANDA L ELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LSW, C-SSW

Contact information

Practice address
1127 ROUTE 47 S STE 9, RIO GRANDE, NJ 08242-1609
(609) 468-2003
Mailing address
1127 ROUTE 47 S STE 9, RIO GRANDE, NJ 08242-1609
(609) 486-2003

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL06221500
NJ

Other

Enumeration date
11/18/2016
Last updated
08/24/2023
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