Individual
MRS. AMANDA FAITH KIELBANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
32 WILLOW DR, RANDOLPH, NJ 07869-4745
(973) 885-2928
Mailing address
32 WILLOW DR, RANDOLPH, NJ 07869-4745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04778800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC04778800
LCSW
NJ
Enumeration date
01/28/2007
Last updated
03/14/2013
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