Individual
AMANDA MICHELLE LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KINGS HWY E, HADDONFIELD, NJ 08033-1901
(856) 492-4500
Mailing address
203 KINGS HWY E, HADDONFIELD, NJ 08033-1901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
06/01/2019
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