Individual
SAMANTHA MANDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 ROUTE 9, HOWELL, NJ 07731-4016
(732) 987-9770
Mailing address
2340 ROUTE 9, HOWELL, NJ 07731-4016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06593000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
09/21/2020
Last updated
01/15/2026
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