Individual
MS. AMANDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 265-8200
Mailing address
1 ROLAND RD, PEQUANNOCK, NJ 07440-1909
(973) 830-6298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00265700
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05713700
NJ
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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