Individual
AMANDA MALANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 GODWIN AVE, MIDLAND PARK, NJ 07432-1449
(201) 444-8110
Mailing address
39 WICK DR, FORDS, NJ 08863-1406
(732) 770-6029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00195200
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00556300
NJ
Other
Enumeration date
02/21/2012
Last updated
08/02/2021
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