Individual
AMANDA EURSERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 THOMAS AVE, WEST CREEK, NJ 08092-9739
(609) 389-9096
Mailing address
155 THOMAS AVE, WEST CREEK, NJ 08092-9739
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NJ
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
10/25/2018
Last updated
10/08/2025
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